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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHELLE BENGTSON

Active

DR. MICHELLE BENGTSON is a Clinical Neuropsychologist healthcare provider located in SOUTHLAKE, Texas. NPI 1457442683 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · SOUTHLAKE, TX

Registration Details

NPI Number
1457442683
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2006 (19.913028572901 yrs)
Last Updated
Jul 8, 2007
License
30853 (TX)

Practice Information

Address
700 E SOUTHLAKE BLVD STE 190
SOUTHLAKE, TX, 760926351
Browse TX providers · Browse ZIP 76092
Phone
8172510911
Primary Specialty
Clinical Neuropsychologist
103G00000X
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.