DR. ELIZABETH MORGAN BENNETT


Address: 1984 Isaac Newton Sq W, Suite 204, Reston, VA 20190-5038
Phone: 7039733863

DR. ELIZABETH MORGAN BENNETT (NPI# 1700181757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700181757
Entity Type Individual
Full Name DR. ELIZABETH MORGAN BENNETT
Other Name DR. LISA BENNETT
Credential PH.D.
Practice Address 1984 Isaac Newton Sq W
Suite 204
Reston
VA 20190-5038
Mailing Address 1936 Winterport Cluster
Reston
VA 20191-3652
Practice Telephone 7039733863
Mailing Telephone 7039733863
Enumeration Date 2011-01-24
Last Update Date 2011-01-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810003030 VA Behavioral Health & Social Service Providers

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Office Location

Street Address 1984 ISAAC NEWTON SQ W
SUITE 204
City RESTON
State VA
Zip Code 20190-5038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326068230 Sama Elkadi Abugideiri Counselor 1984 Isaac Newton Sq W, Suite 204, Reston, VA 20190-5038 2006-07-20
1346632155 John Millikin Marriage & Family Therapist 1984 Isaac Newton Sq W, 204, Reston, VA 20190-5038 2015-03-03
1891183885 Sarah Freeman Counselor 1984 Isaac Newton Sq W, Suite 204, Reston, VA 20190-5038 2014-12-30
1538499595 Eric Edward Mccollum Social Worker 1984 Isaac Newton Sq W, Suite 204, Reston, VA 20190-5038 2010-01-13
1477762649 Neil P Mcnerney Counselor 1984 Isaac Newton Sq W, Suite 204, Reston, VA 20190-5038 2007-05-22
1609081066 Sherry Anoushfar Dentist 1984 Isaac Newton Sq W, Suite 201, Reston, VA 20190-5038 2007-05-11
1053466854 Neda Kalantar Dentist 1984 Isaac Newton Sq W, Suite 200, Reston, VA 20190-5038 2007-01-24
1780742791 Elizabeth Spring Marriage & Family Therapist 1984 Isaac Newton Sq W, Suite 204, Reston, VA 20190-5038 2006-12-04
1194747931 James Steven Miller Counselor 1984 Isaac Newton Sq W, Suite 204, Reston, VA 20190-5038 2006-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912548470 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 2019-10-04
1205483260 Northern Virginia Applied Behavior Analysis, L.L.C. Behavioral Analyst 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 2019-08-23
1336796481 Sandra Chiunda Nurse Practitioner 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 2019-08-23
1891357232 Beyond Counseling, Inc. Clinic/Center 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 2019-07-06
1003470063 Sarah Katharina Jungnitsch Registered Nurse Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 2019-04-25
1194202341 May Health Care Services Inc Home Health 12110 Sunset Hills Road Suite 600, Reston, VA 20190 2018-07-20
1245739895 Carlee B. Genung Physician Assistant 1760 Reston Parkway Suite 306, Reston, VA 20190 2018-02-09
1760901045 Kristen Kelly Dietitian, Registered 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 2017-09-18
1245778992 Sarah Christine Bernstein Occupational Therapist 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 2017-02-02
1023495298 Phillip Nguyen Dentist 1800 Town Center Dr Ste 116, Reston, VA 20190 2015-04-27
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275916413 Claudia Patricia Amendola Psychologist 1818 Library St Ste 567, Reston, VA 20190-6242 2015-07-07
1578970224 Lauren King Wall Psychologist 1810 Michael Faraday Dr Ste 204, Reston, VA 20190-5330 2014-07-15
1144505082 Abram Sterne Psychologist 11150 Sunset Hills Road, Suite 150, Family Compass, Reston, VA 20190 2011-10-11
1568741841 Tara Luv Travia Psychologist 11250 Roger Bacon Dr Ste 2, Reston, VA 20190-5202 2011-08-04
1083751648 Linda Rose Goglia Psychologist 11333 Sunset Hills Road, Linda R Goglia Phd, Reston, VA 20190-5205 2007-01-31
1043362197 Charles Ernest Burt Psychologist 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 2007-01-17
1952467664 Carlos Durana Psychologist 11417 Tanbark Dr, Reston, VA 20191-4103 2006-12-28
1932269339 Mary Jo Smrekar Psychologist 11231 Handlebar Rd, Reston, VA 20191-3907 2006-12-08
1962578195 Robert P. Rugel Psychologist 11506 Purple Beech Dr, Reston, VA 20191-1328 2006-11-28
1225148976 Sarita Bobrick Kaplan Psychologist 11333 Sunset Hill Road, Reston, VA 20190-5205 2006-08-30
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Competitor

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City RESTON
Zip Code 20190

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Dataset Information

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.

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