Individual
THOMAS S BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3737 GOVERNMENT BLVD STE 203, MOBILE, AL 36693-4310
(251) 300-7134
(251) 202-7851
Mailing address
PO BOX 1160, ORANGE BEACH, AL 36561-1160
(251) 928-4750
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
336
AL
Other
Enumeration date
06/07/2006
Last updated
10/02/2020
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