Individual ProviderKimberly BennettPsychologistBehavioral Health & Social Service ProvidersPractice Address751 E Daily Dr Ste 320, Camarillo, CA 93010-0772(818) 263-7420PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly 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 5 days ago.Profile DetailsProvider ID1487719258Provider TypeIndividualFull NameBennett, KimberlyTitleDr.CredentialPH.D.GenderFemaleSole ProprietorNoEnumeration Date12/22/2006Last Updated12/22/2020Contact InformationPractice LocationPractice Address751 E Daily Dr Ste 320, Camarillo, CA 93010-0772Phone(818) 263-7420FaxUnlisted FaxMailing LocationMailing Address751 E Daily Dr Ste 320, Camarillo, CA 93010-0772Phone(818) 263-7420FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicensePSY16324California