Individual
DR. KORI BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
825 WEST END AVENUE, 1D, NEW YORK, NY 10025
(909) 969-8291
Mailing address
825 WEST END AVENUE, 1D, NEW YORK, NY 10025
(909) 969-8291
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021516
NY
Other
Enumeration date
08/30/2012
Last updated
10/19/2016
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