Juanika L Benson
Psychologist, Clinical in Detroit, MI. Individual provider (NPI-1).
NPI number1013258904
StatusActive
Last updated in NPPESJul 2, 2020
Details
- NPI
- 1013258904
- Entity type
- Individual (NPI-1)
- Name
- Juanika L Benson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2013
- Certification date
- Jul 2, 2020
- Last updated
- Jul 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6361003550 | MI | Yes |
| 102L00000X | Psychoanalyst | 6361003550 | MI |
Practice location
2566 E Grand Blvd Apt 307Detroit, MI 48211-2026
Phone 313-247-4413
Mailing address
2566 E Grand Blvd Apt 307Detroit, MI 48211-2026
Phone 313-247-4413
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