Individual
DEMEATRICE BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9898 LANTERN ST STE 7, JACKSONVILLE, FL 32225-7271
(904) 516-4742
Mailing address
3078 DONATO DR N, JACKSONVILLE, FL 32226-2030
(678) 876-0442
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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