Individual
DR. DEBEKA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
106 STRAUBE CENTER BLVD FL 5, PENNINGTON, NJ 08534-1449
(609) 759-1322
Mailing address
PO BOX 5801, SOMERSET, NJ 08875-5801
(609) 759-1322
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
025575
NY
103TC1900X
Counseling Psychologist
Primary
35SI00702600
NJ
103TP2701X
Group Psychotherapy Psychologist
025575
NY
103TP2701X
Group Psychotherapy Psychologist
35SI00702600
NJ
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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