Individual
BENJAMIN MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3252 HOLIDAY CT, LA JOLLA, CA 92037-0027
(858) 534-8817
(858) 534-9410
Mailing address
3252 HOLIDAY CT, LA JOLLA, CA 92037-0027
(858) 534-8817
(858) 534-9410
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26510
CA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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