Individual
DR. ELIZABETH MORGAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1984 ISAAC NEWTON SQ W, SUITE 204, RESTON, VA 20190-5038
(703) 973-3863
Mailing address
1936 WINTERPORT CLUSTER, RESTON, VA 20191-3652
(703) 973-3863
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003030
VA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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