Ted Bennett, PH.D.

NPI #1891919213 in Jackson, Mississippi

Provider Information

NPI Number
1891919213
Entity Type
Individual
Name
Ted Bennett, PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Clinical Neuropsychologist
Credential
PH.D.
Enumeration Date
Apr 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1500 E WOODROW WILSON AVE
Address 2
OFFICE A370
ZIP Code
39216-5116
Phone
(601) 362-4471

Specialties & Taxonomy Codes

Specialty
Clinical Neuropsychologist

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