Individual
KENNETH PETER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
(406) 447-6000
Mailing address
3687 VETERANS DR # 169-183, FORT HARRISON, MT 59636-9700
(406) 447-6027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-203704
ID
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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