| Doctor Name: | MR. DALE TODD BENNETT |
| NPI Number: | 1699922674 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.ED |
| License Number: | |
| Business Practice Address: | 480 N Bisbee Ave Willcox, AZ - 856431509 |
| Business Phone Number: | 5203848660 |
| Business Fax Number: | |
| Mailing Address: | 480 N Bisbee Ave, WILLCOX |
| State: | AZ |
| Postal Code: | 856431509 |
| Phone Number: | 5209098447 |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 08/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |