MR. DALE TODD BENNETT (NPI# 1699922674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699922674 |
| Entity Type | Individual |
| Full Name | MR. DALE TODD BENNETT |
| Credential | M.ED |
| Practice Address |
480 N Bisbee Ave Willcox AZ 85643-1509 |
| Practice Telephone | 5203848660 |
| Mailing Telephone | 5209098447 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922012665 | Dale J Bennett | Chiropractor | 195 E Gentile St, Suite 7, Layton, UT 84041-3754 | 2006-07-28 |
| Street Address |
480 N BISBEE AVE |
| City | WILLCOX |
| State | AZ |
| Zip Code | 85643-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699949081 | Susan Woods Poire | Registered Nurse | 480 N Bisbee Ave, Willcox, AZ 85643-1509 | 2008-04-16 |
| 1528513603 | Crystal Ward | Registered Nurse | 480 N Bisbee Ave, Willcox, AZ 85643-1509 | 2016-08-18 |
| 1124332036 | Kristine Beth Duncan | Psychologist | 480 N Bisbee Ave, Willcox, AZ 85643-1509 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023527363 | Martha Prendergast | Obstetrics & Gynecology | 24749 S Brookerson Rd, Willcox, AZ 85643 | 2017-09-28 |
| 1891097333 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 114 S. Arizona Avenue, & 116, Willcox, AZ 85643 | 2010-12-02 |
| 1528392545 | Willcox Pharmacy, LLC | Pharmacy | 902 W Rex Allen Drive, Suite A, Willcox, AZ 85643 | 2009-09-23 |
| 1104977990 | Ronald J Nelson | Psychologist | 480 N. Bisbee Ave, Willcox, AZ 85643 | 2007-01-16 |
| 1144370149 | Bashas Inc | Pharmacy | 900 W Rex Allen Dr, Willcox, AZ 85643 | 2007-01-11 |
| 1366530859 | Ellen Bennett | Marriage & Family Therapist | 404 Rex Allen Drive, Willcox, AZ 85643 | 2006-10-10 |
| 1780610642 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 780 Rex Allen Dr., Willcox, AZ 85643 | 2006-06-23 |
| 1366440083 | Charles Wm. Leighton, Jr. Hospice, Inc. | Hospice Care, Community Based | 524 West Maley Place, Willcox, AZ 85643 | 2005-07-07 |
| 1427283175 | Janet Gayle Perry | Registered Nurse | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2009-05-26 |
| 1881829539 | Nicholas Anthony Quaglietta | Pharmacist | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2009-05-26 |
| Find all providers in zip 85643 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982851960 | Katie Jayne Skaarer | Counselor | 501 W Delos St, Willcox, AZ 85643-1603 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595707 | Danielle Payne | Counselor | 4145 E Montecito St, Tucson, AZ 85711-4734 | 2019-05-30 |
| 1780135533 | Eva Tomashefski | Counselor | 11011 N 92nd St, #1121, Scottsdale, AZ 85260-6137 | 2016-10-17 |
| 1275905754 | A & G Child Care Center LLC | Counselor | 537 E Racine Pl, Casa Grande, AZ 85122-1611 | 2015-10-23 |
| 1235547654 | Brian Prince | Counselor | 837 W Colter St, Apt. 51, Phoenix, AZ 85013-2269 | 2014-07-29 |
| 1750703682 | Amber Pedersen | Counselor | 1312 E Hale St, Mesa, AZ 85203-3818 | 2014-01-12 |
| 1023399227 | Sarah Joy Steele | Counselor | 7275 W Vineyard Rd, Laveen, AZ 85339-9805 | 2011-08-31 |
| 1255639902 | Sylvia Nockideneh-tee | Counselor | East Fir Street, Tuba City Junior High, Tuba City, AZ 86045 | 2011-03-04 |
| 1851600597 | Denisse Leon-uribe | Counselor | 3689 W Pageant Pl, Yuma, AZ 85364-3262 | 2010-09-29 |
| 1457689259 | Perla Nora Gonzalez | Counselor | 5832 W Ivanhoe St, Chandler, AZ 85226-1846 | 2009-12-07 |
| 1649508441 | Jennifer Palomares | Counselor | 8706 W Morten Ave, Glendale, AZ 85305-3945 | 2009-12-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.