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BRAD BENNETT PSYCHOLOGY PC NPI 1538178827


NPI Information

NPI: 1538178827
Provider Name: BRAD BENNETT PSYCHOLOGY PC

Doing Business As: CLINTON THERAPY & TESTING CENTER

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
7325 STATE ROUTE 5
CLINTON, NY
ZIP 13323
Phone: (315) 859-1973
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BRAD BENNETT PSYCHOLOGY PC is a clinical psychologist in Clinton, NY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. BRAD BENNETT PSYCHOLOGY PC NPI is 1538178827. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinton Therapy & Testing Center.

The provider's business location address is:

7325 STATE ROUTE 5
CLINTON, NY
ZIP 13323-435
Phone: (315) 859-1973
Fax: (315) 859-1979

The provider's authorized official is Brad Bennett .
The authorized official title is Director and has the following contact phone number (315) 859-1973.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical8120-0NEW YORKYes
21041C0700XSocial WorkerClinicalNEW YORKX
3106H00000XMarriage & Family TherapistNEW YORKX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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