Individual
DR. ROBERTA KARIBO BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 BENMONT AVE, SUITE 20, BENNINGTON, VT 05201-1873
(802) 442-3520
(802) 447-3392
Mailing address
160 BENMONT AVE, SUITE 20, BENNINGTON, VT 05201-1873
(802) 442-3520
(802) 447-3392
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420007424
VT
2084P0804X
Child & Adolescent Psychiatry Physician
0420007424
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005143
—
VT
Enumeration date
11/08/2006
Last updated
09/20/2010
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