SUSAN BENNETT

PORTLAND, OR
NPI1972623510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: OR  749)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
Dr. SUSAN BENNETT PhD
4915 N INTERSTATE AVE
PORTLAND, OR 97217-3624
Phone number: 503-705-3852
Mailing Address
Dr. SUSAN BENNETT PhD
4915 N INTERSTATE AVE
PORTLAND, OR 97217-3624
Phone number: 503-705-3852