Search › Idaho › 103TC0700X
Matthew Bennett, PHD
NPI 1316149792 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1222 S Vista Ave
Boise, ID 83705 - Phone
- (208) 837-5121
- Fax
- (208) 906-8234
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho