Individual
DR. LANI T BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
430 OAK GROVE ST, SUITE 230, MINNEAPOLIS, MN 55403-3253
(612) 870-0230
(612) 872-9170
Mailing address
430 OAK GROVE ST, SUITE 230, MINNEAPOLIS, MN 55403-3253
(612) 870-0230
(612) 872-9170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1729
MN
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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