DR. Robert Todd Bennett, PH.D.

NPI #1962490474 in Boise, Idaho

Provider Information

NPI Number: 1962490474
Entity Type: Individual
Name: DR. Robert Todd Bennett, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Oct 10, 2005
Last Updated: May 3, 2011

Practice Location

Address: 1755 WESTGATE DR
Address 2: SUITE 260
City: Boise
State: Idaho
ZIP Code: 83704-7174
Phone: (208) 373-0790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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