Individual
DR. NATALIE MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
840 ROYAL AVE STE 110, MEDFORD, OR 97504-6461
(541) 732-8370
Mailing address
840 ROYAL AVE STE 110, MEDFORD, OR 97504-6461
(541) 732-8370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3412
OR
103TC0700X
Clinical Psychologist
PY0964
NV
Other
Enumeration date
07/04/2017
Last updated
10/23/2021
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