Dr. Diana Bennett, Ph.D.
Psychologist, Clinical in Albuquerque, NM. Individual provider (NPI-1).
NPI number1982113205
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982113205
- Entity type
- Individual (NPI-1)
- Name
- Dr. Diana Bennett
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1488 | NM | Yes |
Practice location
1501 San Pedro Dr Se # Mc116Albuquerque, NM 87108-5153
Phone 505-265-1711
Mailing address
1501 San Pedro SeBhcl- Mc 116
Albuquerque, NM 87108
Phone 505-265-1711
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