Individual
BENJAMIN DENNIS MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1615 KATHY LN SW STE 102, DECATUR, AL 35603-1026
(256) 701-5651
(256) 429-9411
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 975-4291
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-151012
AL
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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