Organization
WILLIAM S BENNETT PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SCOTT BENNETT PHD (CLINICAL PSYCHOLOGIST)
(910) 343-1474
Entity
Organization
Contact information
Practice address
2311 CANTERWOOD DR, WILMINGTON, NC 28401
(910) 343-1474
(910) 763-1482
Mailing address
2311 CANTERWOOD DR, WILMINGTON, NC 28401
(910) 343-1474
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2177
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0328U
BLUE CROSS BLUE SHIELD NC
NC
01
—
1051812
CIGNA/MCC
NC
05
—
6000525
—
NC
01
—
61-100549
UNITED BEHAVIORAL HEALTH
NC
01
—
75117
MEDCOST
NC
Enumeration date
09/17/2007
Last updated
02/12/2008
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