Individual
DR. WILLIAM SCOTT BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2311 CANTERWOOD DR, WILMINGTON, NC 28401-7300
(910) 343-1474
Mailing address
4037 APPLETON WAY, WILMINGTON, NC 28412-7337
(910) 313-0823
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2177
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139624
COMP PSYCH
NC
05
—
6000525
—
NC
01
—
61-100549
UBH
NC
01
—
75117
MEDCOST
NC
Enumeration date
07/04/2006
Last updated
12/10/2007
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