MRS. Tyra Bennett, LMFT #111017
NPI #1235576794 in Lafayette, California
Provider Information
- NPI Number
- 1235576794
- Entity Type
- Individual
- Name
- MRS. Tyra Bennett, LMFT #111017
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT #111017
- Enumeration Date
- May 23, 2013
- Last Updated
- May 9, 2023
Practice Location
- Address
- 3559 MT DIABLO BLVD UNIT 190
- City
- Lafayette
- State
- California
- ZIP Code
- 94549-3876
- Phone
- (909) 961-5128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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