| Kerry Bennett, Llc | |
|
541 Ocean House Rd Cape Elizabeth ME 04107-2607 | |
| (206) 930-6435 | |
| Not Available |
| Full Name | Kerry Bennett, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 541 Ocean House Rd, Cape Elizabeth, Maine |
| Authorized Official Name and Position | Kerry Bennett (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2069306435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Bennett, Llc 117 Summit Ter Apt 96 South Portland ME 04106-2276 Ph: (206) 930-6435 | Kerry Bennett, Llc 541 Ocean House Rd Cape Elizabeth ME 04107-2607 Ph: (206) 930-6435 |
| NPI Number | 1477232601 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477232601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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