Individual
ZELMA JOSIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
704 PETOSKEY ST, PETOSKEY, MI 49770-2793
(231) 439-3900
Mailing address
704 PETOSKEY ST, PETOSKEY, MI 49770-2793
(231) 439-3900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011422
MI
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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