Individual
BENNETT STEVEN SLOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
10 STORER ST, KENNEBUNK, ME 04043-6875
(207) 467-8215
(207) 604-5024
Mailing address
41 OCEAN AVE, PO BOX 310, OLD ORCHARD BEACH, ME 04064-2407
(207) 934-5858
(207) 934-6111
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1718
MA
103G00000X
Clinical Neuropsychologist
310
NH
103G00000X
Clinical Neuropsychologist
Primary
PS921
ME
103TC0700X
Clinical Psychologist
1718
MA
103TC0700X
Clinical Psychologist
310
NH
103TC0700X
Clinical Psychologist
PS921
ME
103TC2200X
Clinical Child & Adolescent Psychologist
1718
MA
103TC2200X
Clinical Child & Adolescent Psychologist
310
NH
103TC2200X
Clinical Child & Adolescent Psychologist
PS921
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294560099
—
MA
Enumeration date
01/29/2007
Last updated
12/22/2010
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