| Kelly Randolph Bennett, PHD | |
|
578 Via Arista, Santa Fe, NM 87506-4507 | |
| (505) 577-1862 | |
| (505) 466-9459 |
| Full Name | Kelly Randolph Bennett |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Counseling |
| Location | 578 Via Arista, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134302722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LPCC 0088061 (New Mexico) | Primary |
| 103TC1900X | Psychologist - Counseling | MFC 2017 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Randolph Bennett, PHD Po Box 9880, Santa Fe, NM 87504-9880 Ph: (505) 577-1862 | Kelly Randolph Bennett, PHD 578 Via Arista, Santa Fe, NM 87506-4507 Ph: (505) 577-1862 |
Dr. Kathleen O'malley Reyntjens, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Delgado St, Suite A, Santa Fe, NM 87501 Phone: 505-820-0963 Fax: 505-982-9767 | |
Dr. Gabriela Ureta Munoz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 E San Mateo Rd, Santa Fe, NM 87505 Phone: 505-989-8041 Fax: 505-989-4110 | |
Dr. Priscilla Cummings Roberts, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4435 Airport Rd, Santa Fe, NM 87507 Phone: 505-983-0586 Fax: 505-424-0949 | |
Dr. Ardyth A. Norem, PH.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15 E Chili Line Rd, Santa Fe, NM 87508 Phone: 505-473-4017 | |
Thomas James Mccaffrey, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1925 Aspen Dr Ste 901b, Santa Fe, NM 87505 Phone: 847-471-6993 | |
Dr. William Douglas Frost, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 560 E Coronado Rd, Santa Fe, NM 87505 Phone: 505-986-9131 | |
Dr. David P Dennedy-frank, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2019 Galisteo Street, Suite M1a, Santa Fe, NM 87505 Phone: 505-988-4131 Fax: 505-992-6145 |