Individual
ALEXANDER JASON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2222 BANCROFT WAY, BERKELEY, CA 94720-4301
(510) 725-7215
Mailing address
2222 BANCROFT WAY, BERKELEY, CA 94720-4301
(510) 725-7215
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34206
CA
Other
Enumeration date
04/20/2022
Last updated
11/06/2023
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