NPI 1013438696 · live from the CMS NPI Registry
Natalie Marie Bennett, PhD
Psychologist, Clinical in Medford, OR. National Provider Identifier 1013438696, active.
NPI record
| NPI | 1013438696 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 840 Royal Ave Ste 110, Medford, OR 97504 |
| Practice phone | 541-732-8370 |
| Enumerated | July 4, 2017 |
| Last updated | October 23, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | PY0964 (NV) |
| Psychologist, Clinical primary | 103TC0700X | 3412 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.