Individual provider · Type 1 NPI

Carissa Darlene Bennett, AUD

Specialist · Los Angeles, CA

NPI number 1104869551 Active

Practice location

11645 Wilshire Blvd, Suite # 600
Los Angeles, CA 90025-1708

Call (310) 477-5558 Map

Fax (310) 477-7281

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAU759 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104869551

Carissa Darlene Bennett, AUD's National Provider Identifier is 1104869551, issued on Jun 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 28, 2009.