Search › North Carolina › 103T00000X
Bert Bennett, PH.D
NPI 1750323705 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3111 Maplewood Ave
Suite 105
Winston-Salem, NC 27103 - Phone
- (336) 624-6412
- Fax
- (336) 724-3839
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC1900X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina