MS. LAURA LEE BENNETT


Address: 1007 Parchment Dr Se, Grand Rapids, MI 49546-3664
Phone: 6166900434

MS. LAURA LEE BENNETT (NPI# 1508057548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508057548
Entity Type Individual
Full Name MS. LAURA LEE BENNETT
Credential MA., LLP
Practice Address 1007 Parchment Dr Se
Grand Rapids
MI 49546-3664
Practice Telephone 6166900434
Mailing Telephone 6166900434
Enumeration Date 2007-08-06
Last Update Date 2007-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
6301011875 MI Behavioral Health & Social Service Providers

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Office Location

Street Address 1007 PARCHMENT DR SE
City GRAND RAPIDS
State MI
Zip Code 49546-3664

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609086172 Terry Ann Rosander Marriage & Family Therapist 1007 Parchment Dr Se, Grand Rapids, MI 49546-3664 2007-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
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1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
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1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City GRAND RAPIDS
Zip Code 49546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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