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
Fax: (901) 684-1277
Website:

Health care specialties

SpecialtyCodeLicense #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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