Individual
DR. ELIZABETH L. BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
78 MIDDLE ST, FAIRHAVEN, MA 02719-3050
(508) 994-9574
Mailing address
81 HAWTHORN ST, NEW BEDFORD, MA 02740-3429
(508) 994-9574
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6683
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279136000
MAGELLAN
MA
01
—
W05418
BCBS
MA
Enumeration date
01/01/2007
Last updated
03/19/2020
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