Organization
SENIOR NEUROPSYCHOLOGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET G BENTZ PHD (OWNER)
(817) 988-1236
Entity
Organization
Contact information
Practice address
6225 PAPER SHELL WAY, FORT WORTH, TX 76179-9286
(817) 988-1236
(817) 750-1237
Mailing address
6225 PAPER SHELL WAY, FORT WORTH, TX 76179-9286
(817) 988-1236
(817) 750-1237
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
31579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015MJ
BLUE CROSS
TX
05
—
159445901
—
TX
Enumeration date
11/20/2007
Last updated
04/29/2014
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