Charles R. Bennett, PHD

NPI #1144253006 in Pueblo, Colorado

Provider Information

NPI Number: 1144253006
Entity Type: Individual
Name: Charles R. Bennett, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jul 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1600 W 24TH ST
City: Pueblo
State: Colorado
ZIP Code: 81003-1411
Phone: (719) 546-4838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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