Individual
DR. ROBERT BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
117 TENNESSEE AVE NE, WASHINGTON, DC 20002-6425
(202) 494-6675
(708) 801-7178
Mailing address
117 TENNESSEE AVE NE, WASHINGTON, DC 20002-6425
(202) 494-6675
(170) 880-1171
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1496
DC
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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