DR. Brad Bennett

NPI #1558454124 in Clinton, New York

Provider Information

NPI Number: 1558454124
Entity Type: Individual
Name: DR. Brad Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7325 STATE ROUTE 5
City: Clinton
State: New York
ZIP Code: 13323-3435
Phone: (315) 859-1973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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