Lisah Nichole Bennett, MSMFT
Lisah Nichole Bennett, MSMFT is a Rehabilitation Practitioner in South Pasadena, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
625 S Fair Oaks Blvd #300South Pasadena, CA 91030
Phone: (626) 831-2509
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X · Licence IMF 46200 (CA) |
|---|
Record details
| NPI number | 1952431793 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSMFT |
| Sole proprietor | No |
| NPI enumerated | March 7, 2007 |
| Last updated in NPPES | July 13, 2007 |
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