# FLORIDA PSYCHOLOGICAL SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DEMARA BENNETT SOLE MBR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639379928
- **Authorized official:** DR. DEMARA BETH BENNETT PSY.D. (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (321) 777-4440

## Contact information

- **Practice address:** 1127 S PATRICK DR, SUITE 1, SATELLITE BEACH, FL 32937-3939
- **Practice address phone:** (321) 777-4440
- **Practice address fax:** (321) 777-4440
- **Mailing address:** 1127 S PATRICK DR, SUITE 1, SATELLITE BEACH, FL 32937-3939
- **Mailing address phone:** (321) 777-4440
- **Mailing address fax:** (321) 777-4440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | PY 7342 | FL | — |
| 103TC0700X | Clinical Psychologist | PY 7342 | FL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PY 7342 | FL | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 07/07/2008