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Lisah Nichole Bennett, MSMFT
Rehabilitation Practitioner in South Pasadena, California
NPI 1952431793

Lisah Nichole Bennett is a Rehabilitation Practitioner based in S. Pasadena, CA. Lisah Nichole Bennett practices in South Pasadena, CA and has the professional credentials of MSMFT. The NPI Number for Lisah Nichole Bennett is 1952431793 and holds a License No. IMF 46200 (California).

The current practice location address for Lisah Nichole Bennett is 625 S. Fair Oaks Blvd #300, South Pasadena, CA and can be reached out via phone at 626-831-2509.

Location: 625 S. Fair Oaks Blvd #300, South Pasadena, CA, 91030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952431793
Provider Name
Lisah Nichole Bennett
Credential
MSMFT
Provider Entity Type
Individual
Gender
Female
Address
625 S. Fair Oaks Blvd #300, South Pasadena, CA, 91030
Phone Number
626-831-2509
Fax Number
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
625 S. Fair Oaks Blvd #300
City
South Pasadena
State
California
Zip
91030
Phone Number
626-831-2509
Fax Number
person
Provider Business Mailing Address Details
Address
625 S. Fair Oaks Blvd #300
City
South Pasadena
State
California
Zip
91030
Phone Number
626-831-2509
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
IMF 46200 (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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