Individual
JESSICA BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(888) 227-3898
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD484328
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT220715
PA
Other
Enumeration date
06/24/2020
Last updated
07/24/2024
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