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Individual

DR. PHILIP R BENNETT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
10 BOULDER CRESCENT ST, SUITE 203A, COLORADO SPRINGS, CO 80903-3344
(719) 440-2330
(715) 260-0779
Mailing address
10 BOULDER CRESCENT ST, SUITE 203A, COLORADO SPRINGS, CO 80903-3344
(719) 440-2330
(715) 260-0779

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2622
CO

Other

Enumeration date
09/14/2005
Last updated
07/08/2007
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