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Individual

LINDA R RAPP-BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
490 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450
(585) 223-0810
(585) 425-1552
Mailing address
490 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450
(585) 223-0810
(585) 425-1552

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
007397
NY
103TC0700X
Clinical Psychologist
Primary
007397
NY
103TC2200X
Clinical Child & Adolescent Psychologist
007397
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100241FC
PREFERRED CARE
NY
01
7193383
AETNA
NY
01
7700150
MVP HEALTH CARE
01
P010007397
BC/BS- EXSELLUS
NY
Enumeration date
08/22/2006
Last updated
03/17/2018
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