Individual
DR. ARIEAHN MATAMONASA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2603 S WASHINGTON ST STE 170, NAPERVILLE, IL 60565-6377
(630) 305-6180
Mailing address
2603 S WASHINGTON ST STE 170, NAPERVILLE, IL 60565-6377
(630) 305-6180
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007415
IL
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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