Individual
DR. BEVERLY C. BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2015 GRANT PL, MELBOURNE, FL 32901-5600
(321) 728-9949
(270) 568-7607
Mailing address
2015 GRANT PL, MELBOURNE, FL 32901-5600
(321) 728-9949
(270) 568-7607
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0001101
FL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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