J Bennett Group Psc in Louisville - Clinical
J Bennett Group Psc - NPI 1790955334
J Bennett Group Psc is a Clinical in Louisville, Kentucky. J Bennett Group Psc practices all healthcare services and medical treatments related to Clinical. The NPI Number for J Bennett Group Psc is 1790955334. The last update date is 2022-07-21.
J Bennett Group Psc's current location address is 1603 Stevens Ave, Louisville, Kentucky. You can contact this provider via phone number 5023767552 and fax number 5024255540. The mailing address for J Bennett Group Psc is 1603 Stevens Ave, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Organization | J Bennett Group Psc |
---|---|
Address | 1603 Stevens Ave, Louisville, Kentucky |
Phone Number | 5023767552 |
Fax Number | 5024255540 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRES/CEO |
---|---|
Authorized Official Name | Bennett M Jeanne |
Credentials | PSYD |
Telephone Number | 5023767552 |
NPI Number Detail
NPI Number | 1790955334 |
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Provider Enumeration Date | 2008-03-11 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 1603 Stevens Ave |
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City | Louisville |
State | Kentucky (KY) |
Post Code | 402051087 |
Phone Number | 5023767552 |
Fax Number | 5024255540 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 103Tc0700X |
Licence No | 1034 |
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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What is the unique 10-digit identification code assigned to J Bennett Group Psc by the Centers for Medicare & Medicaid Services?
The J Bennett Group Psc has been issued the NPI (National Provider Identifier) 1790955334, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where J Bennett Group Psc is geographically located?
The J Bennett Group Psc is physically situated at the following location: 1603 Stevens Ave, Louisville, KY, 402051087.
What is the J Bennett Group Psc's area of specialization and corresponding taxonomy classification?
The J Bennett Group Psc'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 the J Bennett Group Psc receive the assignment of its 1790955334 from the Centers for Medicare & Medicaid Services?
The J Bennett Group Psc was issued its 1790955334 by the Centers for Medicare & Medicaid Services on 2008-03-11.
When was the information pertaining to J Bennett Group Psc most recently updated or revised?
The details related to J Bennett Group Psc, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
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