Zelma Josie Bennett, M.A.
Individual provider Active NPI Psychologist · Petoskey, MI
NPI 1083935142 · NPPES record last updated Jun 11, 2010
Key facts
- NPI
- 1083935142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6301011422 (MI)
- Practice address
- 704 Petoskey St
Petoskey, MI 49770-2793 - Phone
- (231) 439-3900
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011422 | MI | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301011422 | MI | Yes |
Addresses
Primary practice location
704 Petoskey St
Petoskey, MI 49770-2793
Mailing address
704 Petoskey St
Petoskey, MI 49770-2793
Phone (231) 439-3900
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.