Ted Bennett in Brandon - Clinical Neuropsychologist

Ted Bennett - NPI 1891919213

Ted Bennett is a Clinical Neuropsychologist in Brandon, Mississippi. Ted Bennett practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Ted Bennett is 1891919213. The last update date is 2007-07-08.

Ted Bennett's current location address is 437 Mockingbird Cir, Brandon, Mississippi. You can contact this provider via phone number 6019193399. The mailing address for Ted Bennett is 437 Mockingbird Cir, Brandon, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Ted Bennett
Address 437 Mockingbird Cir, Brandon, Mississippi
Phone Number 6019193399
Fax Number
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1891919213
Provider Enumeration Date 2007-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 437 Mockingbird Cir
City Brandon
State Mississippi (MS)
Post Code 390477337
Phone Number 6019193399
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 46753
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

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FAQs about Ted Bennett

What is the unique provider identifier assigned to Ted Bennett?

The Ted Bennett has been issued the NPI (National Provider Identifier) 1891919213 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Ted Bennett?

The Ted Bennett is situated at 437 Mockingbird Cir, in the city of Brandon, state of MS, with the zip code 390477337.

What is Ted Bennett's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ted Bennett is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date was the 1891919213 assigned to Ted Bennett?

The Ted Bennett was issued its 1891919213 on 2007-04-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Ted Bennett's details last updated?

The information pertaining to the Ted Bennett, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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