Individual
DR. THOMAS L BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1045 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 493-6667
(970) 493-8016
Mailing address
213 CAMINO REAL, FORT COLLINS, CO 80524-8907
(970) 493-6667
(970) 493-8016
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
895
CO
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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