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Individual

MATTHEW DOUGLAS BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.S.

Contact information

Practice address
3303 THOMASVILLE RD STE 102, TALLAHASSEE, FL 32308-7912
(850) 296-3665
Mailing address
3303 THOMASVILLE RD STE 102, TALLAHASSEE, FL 32308-7912
(850) 296-3665

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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