Individual
MONA E BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., HSP
Contact information
Practice address
354 COOL SPRINGS BLVD, SUITE 105, FRANKLIN, TN 37067-7252
(615) 771-1100
(615) 771-1109
Mailing address
354 COOL SPRINGS BLVD, SUITE 105, FRANKLIN, TN 37067-7252
(615) 771-1100
(615) 771-1109
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
2593
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4202888
BCBS
—
01
—
723455000
MAGELLAN
TN
Enumeration date
03/02/2007
Last updated
04/01/2009
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