Individual
DR. BARBARA A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7049 REDWOOD BLVD STE 101, NOVATO, CA 94945
(415) 435-3450
(415) 435-5015
Mailing address
7049 REDWOOD BLVD STE 101, NOVATO, CA 94945
(415) 435-3450
(415) 435-5015
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
G27785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMS033765
—
CA
Enumeration date
11/03/2006
Last updated
07/11/2007
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