Individual
DR. ALAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
16269 CONNEAUT LAKE RD, SUITE 101, MEADVILLE, PA 16335-3887
(814) 336-1011
Mailing address
809 KOCHER DR, GROVE CITY, PA 16127-8101
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006232L
PA
Other
Enumeration date
05/03/2007
Last updated
07/27/2011
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