| William S Bennett Phd Pc | |
|
2311 Canterwood Dr Wilmington NC 28401 | |
| (910) 343-1474 | |
| (910) 763-1482 |
| Full Name | William S Bennett Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2311 Canterwood Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | William Scott Bennett (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9103431474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William S Bennett Phd Pc 2311 Canterwood Dr Wilmington NC 28401 Ph: (910) 343-1474 | William S Bennett Phd Pc 2311 Canterwood Dr Wilmington NC 28401 Ph: (910) 343-1474 |
| NPI Number | 1194911883 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 02/12/2008 |
| Medicare PECOS PAC ID | 1153597174 |
|---|---|
| Medicare Enrollment ID | O20111221000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194911883 | NPI | - | NPPES |
| 6000525 | Medicaid | NC | |
| 0328U | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 61-100549 | Other | NC | UNITED BEHAVIORAL HEALTH |
| 1051812 | Other | NC | CIGNA/MCC |
| 75117 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2177 (North Carolina) | Primary |
| Provider Name | William S Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750311858 PECOS PAC ID: 2062688088 Enrollment ID: I20111221000832 |
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