Individual
DR. LAVONYA MARIE BENNETT
Active
Individual
DR. LAVONYA MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
03333
KS
103TC0700X
Clinical Psychologist
Primary
38963
TX
Other
Enumeration date
07/22/2021
Last updated
07/03/2024
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