NPI 1043422413 · live from the CMS NPI Registry
Laura Sheffield Bennett, Ph.D.
Psychologist, Clinical Child & Adolescent in Portland, OR. National Provider Identifier 1043422413, active.
NPI record
| NPI | 1043422413 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 8401 Ne Halsey St, Suite 203, Portland, OR 97220 |
| Practice phone | 503-977-0400 |
| Enumerated | May 5, 2007 |
| Last updated | September 30, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | 1678 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.