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Organization

BENNETT EVOLUTION

Active
Parent organization
DOUGLAS BENNETT
Organization subpart
Yes

Provider details

NPI number
Legal business name
DOUGLAS BENNETT
Authorized official
DOUGLAS BENNETT (PSYCHOLOGIST/OWNER)
(614) 356-0540
Entity
Organization

Contact information

Practice address
3 WEST MAIN ST, SUITE #202, WESTERVILLE, OH 43081-2195
(614) 356-0540
Mailing address
3 WEST MAIN ST, SUITE #202, WESTERVILLE, OH 43081-2195
(614) 356-0540

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
01/16/2025
Last updated
01/16/2025
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