Bennett, Myra Lyn
Bennett, Myra Lyn is an sole proprietor health care provider with primary practice located at 5350 Poplar Ave Ste 730 , Memphis TN 38119-3697. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Bennett, Myra Lyn can be contacted via phone (901) 683-5658.Contact Information
Primary practice address
5350 Poplar Ave Ste 730
Memphis TN 38119-3697
Phone: (901) 683-5658
Fax: (901) 684-1277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 0022 | Tennessee |
Profile Details
NPI number | 1790901171 |
---|---|
LBN Legal business name | Bennett, Myra Lyn |
Credentials | LCPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 17th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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