Doctor Name: | CYNTHIA BENNETT |
NPI Number: | 1013306281 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 601 Cumberland St Suite A Chattanooga, TN - 374041922 |
Business Phone Number: | 4232666751 |
Business Fax Number: | 4237634742 |
Mailing Address: | 601 Cumberland St, Suite A CHATTANOOGA |
State: | TN |
Postal Code: | 374041922 |
Phone Number: | 4232666751 |
Fax Number: | 4237634742 |
NPI Enumeration Date: | 01/12/2015 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |