| John Bennett, MA, LP | |
|
8451 Point Douglas Road E, Cottage Grove, MN 55016 | |
| (651) 458-4116 | |
| (651) 458-5632 |
| Full Name | John Bennett |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 8451 Point Douglas Road E, Cottage Grove, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215955513 | NPI | - | NPPES |
| 570033 | Other | MN | P1 |
| 57129BE | Other | MN | BCBS |
| 17574 | Other | MN | HP |
| 62-20082 | Other | MN | UBH |
| 106225 | Other | MN | UC |
| 252287 | Other | MN | CP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2790 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Bennett, MA, LP 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 Ph: (651) 777-5222 | John Bennett, MA, LP 8451 Point Douglas Road E, Cottage Grove, MN 55016 Ph: (651) 458-4116 |
Dr. Vanessa Boerhave, PSY.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8611 W Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-458-1884 | |
Casandra Jewel Clark, Psychologist Medicare: Medicare Enrolled Practice Location: 8682 Inwood Ave S, Cottage Grove, MN 55016 Phone: 651-341-9660 |