Individual
DR. JACQUELINE B BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1945 ROBERTSON ST., FORT COLLINS, CO 80524
(970) 493-6667
(970) 493-8016
Mailing address
213 CAMINO REAL, FORT COLLINS, CO 80524-8907
(970) 493-6667
(970) 493-8016
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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