Bennett, Marlo Kathleen
Bennett, Marlo Kathleen is an sole proprietor health care provider with primary practice located at 1901 Prospector Ave Ste 22 , Park City UT 84060-7208. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bennett, Marlo Kathleen can be contacted via phone (435) 901-3218.Contact Information
Primary practice address
1901 Prospector Ave Ste 22
Park City UT 84060-7208
Phone: (435) 901-3218
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 357426-3902 | Utah |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 357426-3902 | Utah |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 357426-3902 | Utah |
Profile Details
NPI number | 1720059819 |
---|---|
LBN Legal business name | Bennett, Marlo Kathleen |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 27th, 2006 |
Last updated | Aug 29th, 2019 - about 5 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.
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