Individual
BRYAN BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
41 HIGHLAND AVE, WALLINGFORD, CT 06492-2105
(786) 316-1957
Mailing address
41 HIGHLAND AVE, WALLINGFORD, CT 06492-2105
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004591
CT
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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