DR. STEPHANIE MARIE BENNETT (NPI# 1902110919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902110919 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE MARIE BENNETT |
| Credential | D.C. |
| Practice Address |
950 Yale Ave Suite 29 Wallingford CT 06492-1858 |
| Practice Telephone | 2037937147 |
| Practice Fax Number | 2037937214 |
| Mailing Telephone | 2037937147 |
| Mailing Fax Number | 2037937214 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2012-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 001858 | CT | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027639 | Stephanie Bennett | Massage Therapist | 3416 W Houghton Lake Dr, Houghton Lake, MI 48629-9007 | 2020-09-10 |
| 1336678044 | Stephanie Bennett | Specialist | 407 Fairfax Dr Apt 32, Fairfield, AL 35064-1063 | 2017-06-06 |
| 1326398397 | Stephanie L Bennett | Registered Nurse | 1684 Arthur St, Eugene, OR 97402-3426 | 2012-09-17 |
| 1992999270 | Stephanie R Bennett | Physician Assistant | 5999 Dundee Rd, Suite 750, Winter Haven, FL 33884-1107 | 2007-08-30 |
| 1780706770 | Stephanie D. Bennett | Marriage & Family Therapist | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2007-04-03 |
| 1588603641 | Stephanie B Bennett | Family Medicine | 229 Line Rd, Malvern, PA 19355-3320 | 2006-06-05 |
| 1376536706 | Stephanie J Bennett | Nurse Practitioner | 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548 | 2005-08-31 |
| 1437786035 | Stephanie Erin Bennett | Nurse Practitioner | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-03-24 |
| 1235605239 | Stephanie Bennett | Community Health Worker | 1634 Lynn St, Owosso, MI 48867-3342 | 2018-10-17 |
| 1114406097 | Stephanie Bennett | Counselor | 648 Monroe Ave Nw Ste 100, Grand Rapids, MI 49503-6714 | 2018-08-10 |
| Street Address |
950 YALE AVE SUITE 29 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366409344 | Filomena Prisco | Occupational Therapy Assistant | 950 Yale Ave, Wallingford, CT 06492-1858 | 2006-04-26 |
| 1013524842 | Ilhan Nikae Braxton | Counselor | 950 Yale Ave, Wallingford, CT 06492-1858 | 2020-09-25 |
| 1851750459 | Kimberly Hayden Leahy | Nurse Practitioner | 950 Yale Ave, Wallingford, CT 06492-1858 | 2016-02-11 |
| 1164771424 | Bennett Family Chiropractic, LLC | Clinic/Center | 950 Yale Ave, Suite 29, Wallingford, CT 06492-1858 | 2012-09-02 |
| 1760650923 | Prohealth Laboratory | Clinical Medical Laboratory | 950 Yale Ave, Wallingford, CT 06492-1858 | 2008-02-11 |
| 1871770230 | Prohealth Physicians Physical Therapy | Physical Therapist | 950 Yale Ave, Suite 39, Wallingford, CT 06492-1858 | 2008-01-29 |
| 1548450422 | Maria G De Sousa | Family Medicine | 950 Yale Ave, Wallingford, CT 06492-1858 | 2007-07-27 |
| 1689790115 | David P Derosa | Chiropractor | 950 Yale Ave, Unit 32, Wallingford, CT 06492-1858 | 2007-03-22 |
| 1144387911 | Judy Robin Kopman-fried | Social Worker | 950 Yale Ave, Wallingford, CT 06492-1858 | 2007-01-02 |
| 1831252733 | Stephany Rozsa | Physical Therapist | 950 Yale Ave, Suite 39, Wallingford, CT 06492-1858 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| 1013180512 | Tracy D Malton | Chiropractor | 3 Hall Ave, Wallingford, CT 06492-3598 | 2008-04-07 |
| 1942410170 | Dr. O. Family Chiropractic | Chiropractor | 319 Pritchard Ln, Wallingford, PA 19086-6104 | 2007-05-23 |
| 1104950534 | Timothy Scott Pepin | Chiropractor | 1245 S Broad St, Wallingford, CT 06492-1737 | 2007-03-15 |
| 1891871562 | Thrive Center of The Green Mountains Inc | Chiropractor | 68 South Main St, Thrive Center of The Green Mountains, Wallingford, VT 05773-0539 | 2006-10-27 |
| 1154436913 | Stanley Seth Harris | Chiropractor | 826 E Center St, Wallingford, CT 06492-5038 | 2006-08-20 |
| 1922032523 | David J Hochman | Chiropractor | 863 North Main Street Ext, Suite 200, Wallingford, CT 06492-2230 | 2006-07-10 |
| 1154365922 | Kurt James Marschner | Chiropractor | 801 N Main Street Ext Ste 110, Wallingford, CT 06492-2463 | 2006-06-15 |
| 1528001435 | David Anthony Clukey | Chiropractor | 2 Chapel St, Wallingford, CT 06492-2213 | 2006-06-14 |
| 1265474571 | Advanced Spine & Sports Medicine LLC | Chiropractor | 821 N Main Street Ext, Suite 110, Wallingford, CT 06492-2464 | 2006-06-12 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
Please comment or provide details below to improve the information on DR. STEPHANIE MARIE BENNETT.
| 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.