Organization
OAK CITY PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLEY L BENTON PSY.D. (OWNER)
(919) 234-7247
Entity
Organization
Contact information
Practice address
8410 SIX FORKS RD STE 102, RALEIGH, NC 27615-3079
(919) 234-7247
Mailing address
8410 SIX FORKS RD STE 102, RALEIGH, NC 27615-3079
(919) 234-7247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
133V00000X
Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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