Jane H Bennett
Individual provider Active NPI Clinical Psychologist · Lawrenceburg, KY
NPI 1720157324 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1720157324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 129 (KY)
- Practice address
- 1060 Glensboro Rd
Lawrenceburg, KY 40342-9033 - Phone
- (859) 253-1686
- Fax
- (859) 254-2743
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129 | KY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 129 | KY | Yes |
Addresses
Primary practice location
1060 Glensboro Rd
Lawrenceburg, KY 40342-9033
Mailing address
1351 Newtown Pike
Lexington, KY 40511-1217
Phone (859) 253-1686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30615058 | Medicaid | KY |
Other providers in Lawrenceburg, KY
- Arthur Pangemanan DC LLC
- Chloe Lane Bailey
- Kenneth Bain
- Hannah G Baker
- Baptist Health Medical Group Inc
- Jeffrey K Bennett
- Madison Faith Hamilton Bennett
- Matthew Allen Berry
- Bierly Family Chiropractic Inc.
- Kevin Jay Bierly
All providers in Lawrenceburg, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.