Individual
DR. RYAN DAVID BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3301 COLLEGE AVENUE, FORT LAUDERDALE, FL 33314
(404) 307-2979
Mailing address
725 NW 156TH AVE, PEMBROKE PINES, FL 33028
(404) 307-2979
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
11602
FL
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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