Individual
BENJAMIN R BENNETT-CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39221 WOODWARD AVE, UNIT 107, BLOOMFIELD HILLS, MI 48304-5162
(248) 854-8340
Mailing address
39221 WOODWARD AVE, UNIT 107, BLOOMFIELD HILLS, MI 48304-5162
(248) 854-8340
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014928
MI
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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