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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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