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Contact Information

MYRA L BENNETT, LCPT
5350 POPLAR AVE STE 730
MEMPHIS, TN38119-3697
 Phone: 901-683-5658
 Fax: 901-684-1277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for MYRA L BENNETT · (Female)

NPI # 1790901171
Status Active
Credentials LCPT
Entity Individual
Enumeration date 04/17/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 0022
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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