Individual
DR. BRET BENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6225 PAPER SHELL WAY, FORT WORTH, TX 76179-9286
(817) 988-1236
(817) 750-1237
Mailing address
6225 PAPER SHELL WAY, FORT WORTH, TX 76179-9286
(817) 988-1236
(817) 750-1237
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
31579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015MJ
BLUE CROSS
TX
05
—
159445901
—
TX
Enumeration date
06/30/2006
Last updated
06/07/2013
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