Individual
GAIL MARIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
31251 APPLEWOOD LN, FARMINGTON HILLS, MI 48331-1217
(248) 417-1225
Mailing address
31251 APPLEWOOD LN, FARMINGTON HILLS, MI 48331-1217
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6083-PY-PR
MA
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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