Organization
JENNIFER A. BENNICE, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER A BENNICE (LICENSED CLINICAL PSYCHOLOGIST)
(843) 330-8663
Entity
Organization
Contact information
Practice address
152 CANNON ST, SUITE A, CHARLESTON, SC 29403-5717
(843) 330-8663
(480) 393-5485
Mailing address
152 CANNON ST, SUITE A, CHARLESTON, SC 29403-5717
(843) 330-8663
(480) 393-5485
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
985
SC
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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