Mrs. Mavis Bennett
Psychologist Counseling Psychologist
1100 S Ponce De Leon Blvd Ste 1
St Augustine
, Florida 32084-6013
Mrs. Mavis Bennett
Psychologist Counseling Psychologist
1100 S Ponce De Leon Blvd Ste 1
St Augustine
, Florida 32084-6013
(904) 829-9768
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About
Features
Specialties
- Psychologist
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Mavis Bennett
- 1100 S Ponce De Leon Blvd Ste 1
- St Augustine, FL
- Zip : 32084-6013
- Fax : (904) 829-9768
- Phone : (904) 824-7733
Second Address
- Mrs. Mavis Bennett
- 1100 S Ponce De Leon Blvd Ste 1
- St Augustine, FL
- Zip : 32084-6013
- Fax : (904) 829-9768
- Phone : (904) 824-7733
Reviews
FAQs
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What is Mrs. Mavis Bennett ’s gender?
Is Mrs. Mavis Bennett a sole practitioner?
Is Mrs. Mavis Bennett accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | MT1268 | FL |
| N | 103T00000X | Psychologist | MT1268 | FL |
| N | 103TC1900X | Counseling Psychologist | MT1268 | FL |
National Provider Identifier
| NPI | 1003999608 |
|---|---|
| Provider Name | Mrs. Mavis Bennett |
| First Address | St Augustine, FL 32084-6013 |
| Second Address | St Augustine, FL 32084-6013 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.