Individual
DR. JANICE DRANDELL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
255 W 88TH ST APT 6B, NEW YORK, NY 10024-1717
(212) 874-1470
(866) 411-9117
Mailing address
255 W 88TH ST APT 6B, NEW YORK, NY 10024-1717
(212) 874-1470
(212) 787-3369
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10934
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01389871
—
NY
01
—
6801086
GHI, VALUEOPTIONS
NY
Enumeration date
07/18/2006
Last updated
09/21/2010
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