Individual
DAVID S BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7963
Mailing address
4641 ROOSEVELT BLVD, FRIENDS HOSPITAL, SUITE C229, PHILADELPHIA, PA 19124-2343
(215) 831-4811
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006349L
PA
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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