Kelly Randolph Bennett, PHD
NPI #1134302722 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1134302722
- Entity Type
- Individual
- Name
- Kelly Randolph Bennett, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Counseling
- Credential
- PHD
- Enumeration Date
- Dec 6, 2007
- Last Updated
- Apr 7, 2008
Practice Location
- Address
- 578 VIA ARISTA
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87506-4507
- Phone
- (505) 577-1862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Counseling — Counseling |
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