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Organization
FLORIDA PSYCHOLOGICAL SPECIALISTS
Active
Organization
FLORIDA PSYCHOLOGICAL SPECIALISTS
Active
Other names
DEMARA BENNETT SOLE MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMARA BETH BENNETT PSY.D. (LICENSED PSYCHOLOGIST)
(321) 777-4440
Entity
Organization
Contact information
Practice address
1127 S PATRICK DR, SUITE 1, SATELLITE BEACH, FL 32937-3939
(321) 777-4440
(321) 777-4440
Mailing address
1127 S PATRICK DR, SUITE 1, SATELLITE BEACH, FL 32937-3939
(321) 777-4440
(321) 777-4440
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY 7342
FL
103TC0700X
Clinical Psychologist
PY 7342
FL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY 7342
FL
Other
Enumeration date
07/24/2007
Last updated
07/07/2008
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