Individual
DR. BENNETT THOMAS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
899 SKOKIE BLVD, SUITE 304, NORTHBROOK, IL 60062-4019
(847) 205-9605
(847) 564-8755
Mailing address
899 SKOKIE BLVD, 304, NORTHBROOK, IL 60062-4019
(847) 205-9605
(847) 564-8755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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