Organization
FLORIDA PSYCHOLOGICAL SPECIALISTS
Active
Other names
DEMARA BENNETT SOLE MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMARA BETH BENNETT PSY.D. (LICENSED PSYCHOLOGIST)
(321) 777-4440
Entity
Organization
Contact information
Practice address
1127 S PATRICK DR, SUITE 1, SATELLITE BEACH, FL 32937-3939
(321) 777-4440
(321) 777-4440
Mailing address
1127 S PATRICK DR, SUITE 1, SATELLITE BEACH, FL 32937-3939
(321) 777-4440
(321) 777-4440
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY 7342
FL
103TC0700X
Clinical Psychologist
PY 7342
FL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY 7342
FL
Other
Enumeration date
07/24/2007
Last updated
07/07/2008
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