| NPI | 1619994670 |
|---|---|
| Former Name | LYNN A. BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 2664) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MO PYR0372) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-10-12 |