Doctor Name: | MR. TODD A BENNETT |
NPI Number: | 1891023123 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCMHC |
License Number: | 0701004693 |
Business Practice Address: | 174 Concord St Suite 250 Peterborough, NH - 034581238 |
Business Phone Number: | 6037232049 |
Business Fax Number: | |
Mailing Address: | 174 Concord St, Suite 250 PETERBOROUGH |
State: | NH |
Postal Code: | 034581238 |
Phone Number: | 6037232049 |
Fax Number: | |
NPI Enumeration Date: | 11/24/2009 |
NPI Last Update Date: | 06/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701004693 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |