Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY RANDOLPH BENNETT, PHD
Active Sole ProprietorKELLY RANDOLPH BENNETT, PHD is a Counseling Psychologist healthcare provider located in SANTA FE, New Mexico. NPI 1134302722 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · SANTA FE, NM
Registration Details
- NPI Number
- 1134302722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2007 (18.660655282944 yrs)
- Last Updated
- Apr 7, 2008
- Licenses
-
LPCC 0088061 (NM)MFC 2017 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
578 VIA ARISTASANTA FE, NM, 875064507Browse NM providers · Browse ZIP 87506
- Phone
- 5055771862
- Fax
- 5054669459
- Primary Specialty
-
Counseling Psychologist
103TC1900X
- Additional Specialty
- Counseling Psychologist
Other Counseling Psychologist Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. KATHLEEN O'MALLEY REYNTJENS | PHD | 1003830415 |
| MR. GREGORY ALAN MAPES | MA LPCC | 1548477615 |
| DANA UDALL | PHD | 1346417490 |
| MS. MERYL LEIBERMAN | PHD | 1396977849 |
| JAMES M NOLAN | LPCC | 1154792919 |
| HOLLY DAVISBORRERO | LMFT, LMHC | 1538738539 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.