Individual
MS. ALISON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5340 HOLIDAY TER, KALAMAZOO, MI 49009-2196
(269) 372-4140
(269) 372-0390
Mailing address
5340 HOLIDAY TER, KALAMAZOO, MI 49009-2196
(269) 372-4140
(269) 372-0390
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016633
MI
103TS0200X
School Psychologist
PP0000000769584
MI
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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