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BENNETT STEVEN SLOTNICK PH D

Clinical Neuropsychologist

Kennebunk, Maine

Provider NPI: 1972649689

Provider Information:
 BENNETT STEVEN SLOTNICK PH D
Gender: M
Not Sole Proprietor

Practice Location:
10 STORER ST  KENNEBUNK, ME 04043 US
Tel: 207-467-8215  Fax: 207-604-5024

Business Mailing Address:
41 OCEAN AVE PO BOX 310 OLD ORCHARD BEACH, ME 04064 US
Tel: 207-934-5858  Fax: 207-934-6111

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MEPS921
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NH310
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA1718
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
NH310
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
MA1718
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
MEPS921
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
NH310
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
MA1718
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
MEPS921

Other Provider Identifiers:

IssuerNumberStateType
294560099MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS ME - Page 1

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