Individual
BENNETT ZEBULUN HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
24 SALT POND ROAD, SUITE D-4, WAKEFIELD, RI 02879
(401) 789-3694
(401) 789-3748
Mailing address
29 HAWTHORNE RD, JAMESTOWN, RI 02835
(401) 423-1188
(401) 789-3748
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
380
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6154212
UNITED HEALTHCARE
RI
01
—
93338
RI BLUE CROSS
RI
05
—
BH08473
—
RI
Enumeration date
07/31/2006
Last updated
07/08/2007
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