Individual
DR. CAROLYN S BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1035 SAN PABLO AVE STE 8, ALBANY, CA 94706-2277
(510) 524-8833
Mailing address
9 MOUNT RAINIER CT, SAN RAFAEL, CA 94903-1022
(415) 339-7422
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 18741
CA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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