Individual
DR. JEANNE MARIE BENNETT
Active
Individual
DR. JEANNE MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1034
KY
103G00000X
Clinical Neuropsychologist
Primary
129055
KY
103TC0700X
Clinical Psychologist
1034
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376778
ANTHEM
KY
01
—
7020285
AETNA
KY
05
—
89000061
—
KY
Enumeration date
07/02/2005
Last updated
09/01/2017
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