Individual
DR. KATHLEEN ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1924 LANDSTOWN CENTRE WAY, VIRGINIA BEACH, VA 23456-1624
(757) 668-4673
Mailing address
1221 TREEFERN DR, VIRGINIA BEACH, VA 23451-6612
(757) 323-2786
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004476
VA
Other
Enumeration date
11/29/2018
Last updated
09/27/2024
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