Dr. Jeanne Marie Bennett, Psy.D.
Clinical Neuropsychologist in Louisville, KY. Individual provider (NPI-1).
NPI number1164429320
StatusActive
Last updated in NPPESSep 1, 2017
Details
- NPI
- 1164429320
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeanne Marie Bennett
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2005
- Last updated
- Sep 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 129055 | KY | Yes |
| 103G00000X | Clinical Neuropsychologist | 1034 | KY | |
| 103TC0700X | Psychologist, Clinical | 1034 | KY |
Practice location
1169 Eastern Pkwy Ste 2238Louisville, KY 40217-1444
Phone 502-376-7552 · Fax 502-425-5540
Mailing address
9012 Willow Springs DriveLouisville, KY 40242-7763
Phone 502-376-7552 · Fax 502-425-5540
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