Bennett, Elizabeth Libby F
Bennett, Elizabeth Libby F is an sole proprietor health care provider with primary practice located at 1320 E Kingsley St Ste A , Springfield MO 65804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bennett, Elizabeth Libby F can be contacted via phone (417) 882-4110.Contact Information
Primary practice address
1320 E Kingsley St Ste A
Springfield MO 65804
Phone: (417) 882-4110
Fax: (417) 882-4155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 01576 | Missouri |
Profile Details
| NPI number | 1982675203 |
|---|---|
| LBN Legal business name | Bennett, Elizabeth Libby F |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | May 25th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982675203 | NPPES |
| Missouri | MEDICAID | 496984816 |
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