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NPI Code Detail

MEDICARE: CATHY C. BENNETT MFT

MEDICARE:   CATHY C. BENNETT  MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFT24810CA

General Provider Information

NPI Number : 1881749158
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY C. BENNETT MFT
Provider Business Mailing Address
First Line : 200 GREGORY LN BLDG C
Second Line : SUITE 101
City : PLEASANT HILL
State : CA
Zip : 94523-3353
Country : US
Telephone Number : 925-798-9443
Fax Number : 925-646-5102
Provider Business Practice Location Address
First Line : 200 GREGORY LN BLDG C
Second Line : SUITE 101
City : PLEASANT HILL
State : CA
Zip : 94523-3353
Country : US
Telephone Number : 925-798-9443
Fax Number : 925-646-5102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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Directions to “ CATHY C. BENNETT MFT” Practice Location

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