Organization
LANI T. BENNETT, PH. , P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANI T BENNETT PH. D. (PRESIDENT)
(612) 870-0230
Entity
Organization
Contact information
Practice address
430 OAK GROVE ST, SUITE 230, MINNEAPOLIS, MN 55403-3253
(612) 870-0230
(612) 872-9170
Mailing address
484 NATURE VIEW CT, WEST ST PAUL, MN 55118-4459
(612) 870-0230
(612) 872-9170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1729
MN
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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