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Individual

DR. BENNIE WHEAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
3717 NATIONAL DR STE 208, RALEIGH, NC 27612-4877
(817) 807-3457
Mailing address
3717 NATIONAL DR STE 208, RALEIGH, NC 27612-4877
(817) 807-3457

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5136
NC

Other

Enumeration date
03/14/2017
Last updated
03/14/2017
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