Benny S Willis in Arlington - Cognitive & Behavioral
Benny S Willis - NPI 1407905995
Benny S Willis is a Cognitive & Behavioral in Arlington, Massachusetts. Benny S Willis practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Benny S Willis is 1407905995. The last update date is 2015-11-25.
Benny S Willis's current location address is 691 Massachussets Avenue, Arlington, Massachusetts. You can contact this provider via phone number 6172424228. The mailing address for Benny S Willis is 691 Massachussets Avenue, Arlington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Benny S Willis |
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Address | 691 Massachussets Avenue, Arlington, Massachusetts |
Phone Number | 6172424228 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1407905995 |
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Provider Enumeration Date | 2007-01-10 |
Last Updated Date | 2015-11-25 |
Provider Mailing Address Detail
Address | 691 Massachussets Avenue |
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City | Arlington |
State | Massachusetts (MA) |
Post Code | 24791648 |
Phone Number | 6172424228 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Cognitive & Behavioral |
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Taxonomy | 103Tb0200X |
Licence No | 6244 |
Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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WO4947 | MA | BLUE CROSS BLUE SHIELD |
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What is the Benny S Willis's 1407905995?
The Benny S Willis's NPI (National Provider Identifier) Number is 1407905995. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Benny S Willis's physical address?
The Benny S Willis is physically located at 691 Massachussets Avenue, in the city of Arlington, MA, with the postal code 24791648.
What is Benny S Willis's area of expertise and its corresponding taxonomy classification?
The Benny S Willis's field of specialization is Cognitive & Behavioral, and it falls under the taxonomy code 103Tb0200X, which categorizes healthcare providers based on their areas of practice.
When did Benny S Willis receive its 1407905995 assignment?
The Benny S Willis was assigned its 1407905995 on 2007-01-10, which is the date when this unique identifier was issued to the organization.
When was the Benny S Willis's information last updated?
The Benny S Willis's information was last updated on 2015-11-25.