MRS. Mavis Bennett, PSYCHOLOGIST

NPI #1003999608 in St Augustine, Florida

Provider Information

NPI Number: 1003999608
Entity Type: Individual
Name: MRS. Mavis Bennett, PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYCHOLOGIST
Enumeration Date: Oct 24, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1100 S PONCE DE LEON BLVD STE 1
City: St Augustine
State: Florida
ZIP Code: 32084-6013
Phone: (904) 824-7733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Psychologist - Counseling — Counseling	103TC1900X

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