Mary Ann Benavides in Wauwatosa - Clinical
Mary Ann Benavides - NPI 1124087051
Mary Ann Benavides is a Clinical in Wauwatosa, Wisconsin. Mary Ann Benavides practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ann Benavides is 1124087051. The last update date is 2007-07-08.
Mary Ann Benavides's current location address is 7425 Maple Terrace, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144755815. The mailing address for Mary Ann Benavides is 7425 Maple Terrace, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann Benavides |
|---|---|
| Address | 7425 Maple Terrace, Wauwatosa, Wisconsin |
| Phone Number | 4144755815 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PH D |
NPI Number Detail
| NPI Number | 1124087051 |
|---|---|
| Provider Enumeration Date | 2006-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7425 Maple Terrace |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532133154 |
| Phone Number | 4144755815 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1319057 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39081700 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Ann Benavides by the Centers for Medicare & Medicaid Services?
The Mary Ann Benavides has been assigned the NPI (National Provider Identifier) 1124087051. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary Ann Benavides's facilities are situated?
The facilities of Mary Ann Benavides are physically located at the following address: 7425 Maple Terrace, Wauwatosa, WI, 532133154.
What is the area of specialization for Mary Ann Benavides, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Ann Benavides is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124087051 to Mary Ann Benavides?
The Centers for Medicare & Medicaid Services originally issued the 1124087051 to Mary Ann Benavides on 2006-03-20.
As of what date were the details related to Mary Ann Benavides most recently updated or revised?
The information pertaining to Mary Ann Benavides, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.