Bennett, Tina

Bennett, Tina is an individual health care provider with primary practice located at 1 Medical Center Dr , Clarksburg WV 26301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bennett, Tina can be contacted via phone (304) 623-3461.

Contact Information

Primary practice address
1 Medical Center Dr Clarksburg WV 26301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X DP00941494 West Virginia

Profile Details

NPI number 1821611005
LBN Legal business name Bennett, Tina
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2020
Last updated May 22nd, 2020 - about 6 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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