Individual
BROOK BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
9701 BRODIE LN STE 205, AUSTIN, TX 78748-6284
(512) 492-6514
Mailing address
9701 BRODIE LN STE 205, AUSTIN, TX 78748-6284
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
40423
TX
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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