Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mavis Bennett, PSYCHOLOGIST

Individual provider Psychologist · NPI 1003999608

Mrs. Mavis Bennett, PSYCHOLOGIST is a Psychologist in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1100 S Ponce De Leon Blvd Ste 1
St Augustine, FL 32084-6013
Phone: (904) 824-7733
Fax: (904) 829-9768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence MT1268 (FL)
Counseling Psychologist Taxonomy 103TC1900X · Licence MT1268 (FL)

Record details

NPI number1003999608
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHOLOGIST
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1100 S Ponce De Leon Blvd Ste 1, St Augustine, FL 32084-6013

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