Individual
MYLES BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., TLLP
Contact information
Practice address
4160 WOODWARD AVE FL 2, DETROIT, MI 48201-2027
(313) 631-8853
Mailing address
37625 PEMBROKE AVE, LIVONIA, MI 48152-1050
(313) 631-8853
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010377
MI
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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