Individual
DANIEL BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7579 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8950
Mailing address
3440 FAIRWAY RD, OCEANSIDE, NY 11572-5609
(317) 730-0170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P119115
NY
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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