Individual
DR. BENSON GEORGE MUNYAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3564 AVALON PARK E BLVD STE 1, IPMB 3039, ORLANDO, FL 32828-3282
(321) 754-9099
Mailing address
11800 MEADOW BRANCH DR APT 417, ORLANDO, FL 32825-5055
(435) 760-5789
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
PSY-005031
AZ
103TC0700X
Clinical Psychologist
Primary
PY10498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1AOUI
FLORIDA BLUE
FL
Enumeration date
06/04/2018
Last updated
10/12/2022
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