Bennett, Shannon

Bennett, Shannon is an individual health care provider with primary practice located at 715 W Gaines St , Tallahassee FL 32306-1603. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bennett, Shannon can be contacted via phone (850) 644-9926.

Contact Information

Primary practice address
715 W Gaines St Tallahassee FL 32306-1603
Phone: (850) 644-9926
Fax: (850) 644-6591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 9086 Florida
Behavioral Health & Social Service Providers / School 103TS0200X SS 1235 Florida

Profile Details

NPI number 1053852954
LBN Legal business name Bennett, Shannon
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2017
Last updated Mar 13th, 2017 - about 8 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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