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Contact Information

JOHN BENNETT, M.A., LP
8451 POINT DOUGLAS ROAD E
COTTAGE GROVE, MN55016
 Phone: 651-458-4116
 Fax: 651-458-5632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN BENNETT · (Male)

NPI Number 1215955513
Status Active
Credentials M.A., LP
Entity Individual
Enumeration date 07/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2790
  • MN Other 57129BE BCBS
  • MN Other 252287 CP
  • MN Other 17574 HP
  • MN Other 570033 P1
  • MN Other 62-20082 UBH
  • MN Other 106225 UC
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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