Organization
CHERYL L BENNETT PHD PLLC
Active
Organization
CHERYL L BENNETT PHD PLLC
Active
Other names
Cheryl L Bennett
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL LYNN BENNETT PHD (OWNER)
(980) 224-3677
Entity
Organization
Contact information
Practice address
2609 N DUKE ST, DURHAM, NC 27704-3048
(980) 224-3677
Mailing address
1391 KILDAIRE FARM RD # 1012, CARY, NC 27511-5525
(980) 224-3677
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1543R
BCBS
—
01
—
20456
CBHA
NC
01
—
531923
MHN/TRICARE
NC
01
—
56162
MEDCOST
—
05
—
6107588
—
NC
01
—
9440507
AETNA
—
Enumeration date
07/23/2014
Last updated
12/27/2021
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