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Contact Information

CHARLES R BENNETT, PHD
1600 W 24TH ST
PUEBLO, CO81003-1411
 Phone: 719-546-4838
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLES R BENNETT · (Male)

NPI # 1144253006
Status Active
Credentials PHD
Entity Individual
Enumeration date 07/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 848
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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