NPI 1891919213

Ted Bennett, PHD

Practitioner Clinical Neuropsychologist Jackson, MS

Practice location

Address: 1500 E Woodrow Wilson Ave Office A370, Jackson, MS 39216-5116
Phone: (601) 362-4471
Mailing address: 437 Mockingbird Cir, Brandon, MS 39047-7337

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 46753 (MS)

Other Clinical Neuropsychologist providers in Mississippi →

Registry record

NPI: 1891919213
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2007
Record last updated: 8 Jul 2007

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.