Bennett, Jeanne Marie

Bennett, Jeanne Marie is an individual health care provider with primary practice located at 1169 Eastern Pkwy Ste 2238 , Louisville KY 40217-1444. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Bennett, Jeanne Marie can be contacted via phone (502) 376-7552.

Contact Information

Primary practice address
1169 Eastern Pkwy Ste 2238 Louisville KY 40217-1444
Phone: (502) 376-7552
Fax: (502) 425-5540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1034 Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1034 Kentucky
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 129055 Kentucky

Profile Details

NPI number 1164429320
LBN Legal business name Bennett, Jeanne Marie
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2005
Last updated Sep 1st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164429320 NPPES
Kentucky Other 7020285 AETNA
Kentucky MEDICAID 89000061 AETNA
Kentucky Other 000000376778 AETNA

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