| Cheryl L Bennett | |
|
2609 N Duke St Durham NC 27704-3048 | |
| (980) 224-3677 | |
| Not Available |
| Full Name | Cheryl L Bennett |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2609 N Duke St, Durham, North Carolina |
| Authorized Official Name and Position | Cheryl Lynn Bennett (OWNER) |
| Authorized Official Contact | 9802243677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl L Bennett 1391 Kildaire Farm Rd # 1012 Cary NC 27511-5525 Ph: (980) 224-3677 | Cheryl L Bennett 2609 N Duke St Durham NC 27704-3048 Ph: (980) 224-3677 |
| NPI Number | 1871901843 |
|---|---|
| Provider Enumeration Date | 07/23/2014 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871901843 | NPI | - | NPPES |
| 6107588 | Medicaid | NC | |
| 531923 | Other | NC | MHN/TRICARE |
| 9440507 | Other | AETNA | |
| 56162 | Other | MEDCOST | |
| 20456 | Other | NC | CBHA |
| 1543R | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3881 (North Carolina) | Primary |
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