Individual
PROF. PETER SYLVESTER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1747 W ROOSEVELT RD # 747, ROOM 155, CHICAGO, IL 60608-1264
(312) 413-1371
(312) 413-1036
Mailing address
1747 W ROOSEVELT RD # 747, ROOM 155, CHICAGO, IL 60608-1264
(312) 413-1371
(312) 413-1036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005983
IL
Other
Enumeration date
02/10/2008
Last updated
02/10/2008
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