Individual
DR. PHILLIP CHARLES BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2401 PENNSYLVANIA AVE, SUITE 1C-51, PHILADELPHIA, PA 19130-3010
(215) 496-9091
(215) 951-6273
Mailing address
2401 PENNSYLVANIA AVE, SUITE 1C-51, PHILADELPHIA, PA 19130-3010
(215) 496-9091
(215) 951-6273
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008447L
PA
Other
Enumeration date
04/12/2007
Last updated
06/19/2015
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