Individual
ALLEENA GABRIELLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
240 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281-7214
(470) 807-9147
Mailing address
240 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281-7214
(470) 807-9147
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004629
GA
Other
Enumeration date
09/01/2022
Last updated
06/07/2023
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