Organization
MICHAEL H. BENNETT, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HARRIS BENNETT PH.D. (CLINICAL PSYCHOLOGIST)
(469) 467-0644
Entity
Organization
Contact information
Practice address
3608 PRESTON RD, STE. 150, PLANO, TX 75093-8655
(469) 467-0644
(972) 509-1450
Mailing address
3608 PRESTON RD, STE. 150, PLANO, TX 75093-8655
(469) 467-0644
(972) 509-1450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-5024
TX
103TF0200X
Forensic Psychologist
2-5024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122065901
—
TX
Enumeration date
04/11/2008
Last updated
06/13/2008
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