Dr. Natalie Marie Bennett, PhD
Psychologist, Clinical in Medford, OR. Individual provider (NPI-1).
NPI number1013438696
StatusActive
Last updated in NPPESOct 23, 2021
Details
- NPI
- 1013438696
- Entity type
- Individual (NPI-1)
- Name
- Dr. Natalie Marie Bennett
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2017
- Certification date
- Oct 23, 2021
- Last updated
- Oct 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 3412 | OR | Yes |
| 103TC0700X | Psychologist, Clinical | PY0964 | NV |
Practice location
840 Royal Ave Ste 110Medford, OR 97504-6461
Phone 541-732-8370
Mailing address
840 Royal Ave Ste 110Medford, OR 97504-6461
Phone 541-732-8370
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