Individual
DR. ELIZABETH LIBBY F BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1320 E KINGSLEY ST STE A, SPRINGFIELD, MO 65804
(417) 882-4110
(417) 882-4155
Mailing address
1320 E KINGSLEY ST STE A, SPRINGFIELD, MO 65804-7228
(417) 882-4110
(417) 882-4155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01576
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496984816
—
MO
Enumeration date
01/27/2006
Last updated
05/25/2018
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