Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHOSHANA BENNETT, PH.D.
Active Sole ProprietorSHOSHANA BENNETT, PH.D. is a Psychologist healthcare provider located in BODEGA BAY, California. NPI 1154664076 is currently active in the NPPES registry. Verify at CMS.
Psychologist · BODEGA BAY, CA
Registration Details
- NPI Number
- 1154664076
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2013 (13.407646243238 yrs)
- Last Updated
- Mar 28, 2013
- License
-
19433 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21413 HERON DRBODEGA BAY, CA, 949230128Browse CA providers · Browse ZIP 94923
- Phone
- 7078759961
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.