Individual ProviderTracy S BennettPsychologistBehavioral Health & Social Service ProvidersPractice Address340 Rosewood Ave, Camarillo, CA 93010-5927(805) 383-0882PECOS EnrollmentBased on the most recent information from CMS, provider Tracy S Bennett does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:41 AM.Profile DetailsProvider ID1285790360Provider TypeIndividualFull NameBennett, Tracy STitleDr.CredentialPH.D.GenderFemaleSole ProprietorYesEnumeration Date12/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address340 Rosewood Ave, Camarillo, CA 93010-5927Phone(805) 383-0882Fax(805) 383-0882Mailing LocationMailing Address340 Rosewood Ave, Camarillo, CA 93010-5927Phone(805) 383-0882Fax(805) 383-0882Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicensePSY15696California