Kimberly Bennett | Camarillo, CA • PECOS Search

Kimberly Bennett

Psychologist

Behavioral Health & Social Service Providers

751 E Daily Dr Ste 320, Camarillo, CA 93010-0772

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Bennett does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:41 AM.

Profile Details

Provider ID
1487719258
Provider Type
Individual
Full Name
Bennett, Kimberly
Title
Dr.
Credential
PH.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
12/22/2006
Last Updated
12/22/2020

Contact Information

Practice Location

751 E Daily Dr Ste 320, Camarillo, CA 93010-0772

Unlisted Fax

Mailing Location

751 E Daily Dr Ste 320, Camarillo, CA 93010-0772

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY16324 California