NPI 1003954330

Matthew James Bennett, PSYD

Practitioner Clinical Psychologist Bellevue, WA

Practice location

Address: 1400 112th Ave SE Suite 100, Bellevue, WA 98004-6901
Phone: (425) 606-7548
Fax: (425) 657-0844
Mailing address: 2246 NW Harmony Way, Issaquah, WA 98027-5488

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY60482081 (WA)

Other Psychologist providers in Washington →

Registry record

NPI: 1003954330
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2007
Record last updated: 16 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.