Individual
DR. MATTHEW JAMES BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1400 112TH AVE SE, SUITE 100, BELLEVUE, WA 98004-6901
(425) 606-7548
(425) 657-0844
Mailing address
2246 NW HARMONY WAY, ISSAQUAH, WA 98027-5488
(425) 606-7548
(425) 657-0844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60482081
WA
Other
Enumeration date
02/01/2007
Last updated
03/16/2015
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