Individual
DR. JANICE O. BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
260 W 72ND ST, SUITE 1C, NEW YORK, NY 10023-2817
(212) 787-5110
(212) 854-9473
Mailing address
260 W 72ND ST, SUITE 1C, NEW YORK, NY 10023-2817
(212) 787-5110
(212) 854-9473
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010327
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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