Individual
ELISABETH D BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
502 E BOONE AVE, SPOKANE, WA 99258-1774
(509) 981-8509
(509) 323-5964
Mailing address
PO BOX 280, COLBERT, WA 99005-0280
(509) 323-3512
(509) 323-5964
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002225
WA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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