Shoshana Bennett, PHD is a
Psychologist based in Bodega Bay, California. Shoshana Bennett is licensed to practice in California (license number 19433) and her current practice location is
21413 Heron Dr, Bodega Bay, California. She can be reached at her office (for appointments etc.) via phone at
(707) 875-9961.
NPI number for Shoshana Bennett is 1154664076 and her current mailing address is Po Box 128, Bodega Bay, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154664076.
Healthcare Provider's Profile
Full Name | Shoshana Bennett |
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Gender | Female |
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Speciality | Psychologist |
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Location | 21413 Heron Dr, Bodega Bay, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154664076
- Provider Enumeration Date: 03/28/2013
- Last Update Date: 03/28/2013
Medical Identifiers
Medical identifiers for Shoshana Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154664076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 19433 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shoshana Bennett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shoshana Bennett, PHD Po Box 128, Bodega Bay, CA 94923-0128 Ph: (707) 875-9961 | Shoshana Bennett, PHD 21413 Heron Dr, Bodega Bay, CA 94923-0128 Ph: (707) 875-9961 |
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