William S Bennett Phd Pc in Wilmington - Clinical
William S Bennett Phd Pc - NPI 1194911883
William S Bennett Phd Pc is a Clinical in Wilmington, North Carolina. William S Bennett Phd Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for William S Bennett Phd Pc is 1194911883. The last update date is 2008-02-12.
William S Bennett Phd Pc's current location address is 2311 Canterwood Dr, Wilmington, North Carolina. You can contact this provider via phone number 9103431474. The mailing address for William S Bennett Phd Pc is 2311 Canterwood Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | William S Bennett Phd Pc |
|---|---|
| Address | 2311 Canterwood Dr, Wilmington, North Carolina |
| Phone Number | 9103431474 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL P |
|---|---|
| Authorized Official Name | Bennett Scott William |
| Credentials | PHD |
| Telephone Number | 9103431474 |
NPI Number Detail
| NPI Number | 1194911883 |
|---|---|
| Provider Enumeration Date | 2007-09-17 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | 2311 Canterwood Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 28401 |
| Phone Number | 9103431474 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2177 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6000525 | NC | -- | |
| 0328U | NC | BLUE CROSS BLUE SHIELD NC | |
| 61-100549 | NC | UNITED BEHAVIORAL HEALTH | |
| 1051812 | NC | CIGNA/MCC | |
| 75117 | NC | MEDCOST |
Post Comment/ Review Below
What is the unique identifier code issued to William S Bennett Phd Pc by the Centers for Medicare & Medicaid Services (CMS)?
The William S Bennett Phd Pc has been assigned the NPI (National Provider Identifier) 1194911883. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of William S Bennett Phd Pc?
The William S Bennett Phd Pc is situated at 2311 Canterwood Dr, in the city of Wilmington, state of NC, with the zip code 28401.
What is the William S Bennett Phd Pc's area of specialization and corresponding taxonomy classification?
The William S Bennett Phd Pc's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did William S Bennett Phd Pc receive its 1194911883 assignment from the Centers for Medicare & Medicaid Services?
The William S Bennett Phd Pc was assigned its 1194911883 on 2007-09-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the William S Bennett Phd Pc's details last updated?
The information pertaining to the William S Bennett Phd Pc, including its address, specialty, and other details, was most recently updated on 2008-02-12.