Juanita Benton is a Psychologist in Minneapolis, Minnesota. Juanita Benton practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Juanita Benton is 1063671782. The last update date is 2009-12-02.
Juanita Benton's current location address is 1313 Penn Ave N, Minneapolis, Minnesota. You can contact this provider via phone number 6125432500 and fax number 6123024870. The mailing address for Juanita Benton is 1313 Penn Ave N, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juanita Benton |
|---|---|
| Address | 1313 Penn Ave N, Minneapolis, Minnesota |
| Phone Number | 6125432500 |
| Fax Number | 6123024870 |
| Sole Proprietor | N |
| Credentials | PSYD, LPCC |
NPI Number Detail
| NPI Number | 1063671782 |
|---|---|
| Provider Enumeration Date | 2008-06-06 |
| Last Updated Date | 2009-12-02 |
Provider Mailing Address Detail
| Address | 1313 Penn Ave N |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554113047 |
| Phone Number | 6125432500 |
| Fax Number | 6123024870 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 17 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique identifier code issued to Juanita Benton by the Centers for Medicare & Medicaid Services?
The Juanita Benton has been assigned the NPI (National Provider Identifier) 1063671782. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Juanita Benton?
The Juanita Benton is situated at 1313 Penn Ave N, in the city of Minneapolis, state of MN, with the zip code 554113047.
What is Juanita Benton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Juanita Benton is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063671782 to Juanita Benton?
The Centers for Medicare & Medicaid Services originally issued the 1063671782 to Juanita Benton on 2008-06-06.
As of what date were the Juanita Benton's details last updated?
The information pertaining to the Juanita Benton, including its address, specialty, and other details, was most recently updated on 2009-12-02.
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