| Roberta K Bennett Md | |
|
160 Benmont Ave Ste 20 Bennington VT 05201-1842 | |
| (802) 442-3570 | |
| (802) 447-3392 |
| Full Name | Roberta K Bennett Md |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 160 Benmont Ave Ste 20, Bennington, Vermont |
| Authorized Official Name and Position | Roberta K Bennett (OWNER) |
| Authorized Official Contact | 8024423520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta K Bennett Md 160 Benmont Ave Ste 20 Bennington VT 05201-1842 Ph: (802) 442-3570 | Roberta K Bennett Md 160 Benmont Ave Ste 20 Bennington VT 05201-1842 Ph: (802) 442-3570 |
| NPI Number | 1023312246 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023312246 | NPI | - | NPPES |
| 0005143 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 042-0007424 (Vermont) | Primary |
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