| Lani T. Bennett, Ph. , P.a. | |
|
430 Oak Grove St Suite 230 Minneapolis MN 55403-3253 | |
| (612) 870-0230 | |
| (612) 872-9170 |
| Full Name | Lani T. Bennett, Ph. , P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 430 Oak Grove St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Lani T Bennett (PRESIDENT) |
| Authorized Official Contact | 6128700230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lani T. Bennett, Ph. , P.a. 484 Nature View Ct West St Paul MN 55118-4459 Ph: (612) 870-0230 | Lani T. Bennett, Ph. , P.a. 430 Oak Grove St Suite 230 Minneapolis MN 55403-3253 Ph: (612) 870-0230 |
| NPI Number | 1083858450 |
|---|---|
| Provider Enumeration Date | 04/28/2009 |
| Last Update Date | 04/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083858450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP1729 (Minnesota) | Primary |
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