Provider Demographics
NPI:1902129000
Name:BENNETT, SILVIA ELIZABETH (IMF)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:ELIZABETH
Last Name:BENNETT
Suffix:
Gender:F
Credentials:IMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8775 AERO DRIVE
Mailing Address - Street 2:SUITE 333
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-836-1090
Mailing Address - Fax:858-836-1094
Practice Address - Street 1:8775 AERO DR
Practice Address - Street 2:SUITE 333
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1792
Practice Address - Country:US
Practice Address - Phone:858-836-1090
Practice Address - Fax:858-836-1094
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health