Individual
DR. CHERYL LYNN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2609 N DUKE ST, DURHAM, NC 27704-3048
(980) 224-3677
Mailing address
1391 KILDAIRE FARM RD # 1012, CARY, NC 27511-5525
(980) 224-3677
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3881
NC
103TC0700X
Clinical Psychologist
Primary
3881
NC
251S00000X
Community/Behavioral Health Agency
3881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1543R
BLUE CROSS BLUE SHIELD
NC
01
—
1543R
BCBS
—
01
—
20456
CBHA
—
01
—
531923
TRICARE
NC
01
—
531923
TRICARE
—
01
—
56162
MEDCOST
NC
01
—
56162
MEDCOST
—
05
—
6107588
—
NC
01
—
9440507
AETNA
NC
01
—
NPI
UNITED HEALTHCARE/ UNITED BEHAVIORAL HEALTH
—
Enumeration date
01/31/2008
Last updated
12/27/2021
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