Leslie, Bennett

Leslie, Bennett is an individual health care provider with primary practice located at 1635 Ursula St Suite # 5501, Aurora CO 80010-7402. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Leslie, Bennett can be contacted via phone (720) 848-1090.

Contact Information

Primary practice address
1635 Ursula St Suite # 5501 Aurora CO 80010-7402
Phone: (720) 848-1090
Fax: (720) 848-1277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2502 Colorado

Profile Details

NPI number 1053367581
LBN Legal business name Leslie, Bennett
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053367581 NPPES
Colorado MEDICAID 33739889

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