Organization
EQUULIBRIUM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIEAHN AND WILLIAM MATAMONASA BENNETT PH.D. (CLINICAL PSYCHOLOGIST)
(630) 305-6180
Entity
Organization
Contact information
Practice address
2603 S WASHINGTON ST STE 170, NAPERVILLE, IL 60565-6377
(630) 305-6180
Mailing address
2603 S. WASHINGTON STREET, NAPERVILLE, IL 60565
(630) 305-6180
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007415
IL
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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