Michelle Bengtson

NPI 1457442683 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1457442683
Gender Female
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
700 E SOUTHLAKE BLVD STE 190
SOUTHLAKE TX, 76092-6351, US
Phone (817) 251-0911
Fax
Business Location
425 E BOB JONES RD
ROANOKE TX, 76262-9216, US
Phone (817) 491-2481
Fax
Toxanomy
Taxonomy Code 103G00000X
License State Texas
License Number 30853
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According to our database, Dr. Michelle Bengtson NPI is 1457442683, taxonomy code is 103G00000X and license number is 30853, license state is located at Texas. Michelle Bengtson physically located at 700 E Southlake Blvd Ste 190, Southlake TX, 76092-6351. NPI Number Michelle Bengtson has the Individual type.

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1457442683 NPI number is provided on an as is basis without warranty of any kind. 1457442683 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Bengtson are for informational purposes only.