Individual
LISA COHEN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
919 VILLAGE CENTER DRIVE SUITE #2, LAFAYETTE, CA 94549
(510) 528-4718
(510) 528-4718
Mailing address
919 VILLAGE CENTER DRIVE SUITE #2, LAFAYETTE, CA 94549
(510) 528-4718
(510) 528-4718
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY12867
CA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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