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Individual

SUSAN LESLIE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
4700 HALE PKWY STE 380, DENVER, CO 80220-4023
(720) 515-2140
Mailing address
4700 HALE PKWY STE 380, DENVER, CO 80220-4023
(720) 515-2140
(720) 408-2541

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3664
CO
103TH0004X
Health Psychologist
3664
CO

Other

Enumeration date
11/15/2011
Last updated
07/21/2022
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