Benny S Willis in Arlington - Clinical Child & Adolescent
Benny S Willis - NPI 1407905995
Benny S Willis is a Clinical Child & Adolescent in Arlington, Massachusetts. Benny S Willis practices all healthcare services and medical treatments related to Clinical Child & Adolescent. 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 |
|---|---|
| Address | 691 Massachussets Avenue, Arlington, Massachusetts |
| Phone Number | 6172424228 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1407905995 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2015-11-25 |
Provider Mailing Address Detail
| Address | 691 Massachussets Avenue |
|---|---|
| City | Arlington |
| State | Massachusetts (MA) |
| Post Code | 24791648 |
| Phone Number | 6172424228 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 6244 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| WO4947 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
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 Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, 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.