Individual
MATTHEW FRANCIS BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
5675 FAIRVIEW ST, STEVENSVILLE, MI 49127-1033
(269) 429-7727
Mailing address
541 UNION ST, NILES, MI 49120-1536
(248) 372-1335
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007563
MI
103TC0700X
Clinical Psychologist
6301017782
MI
Other
Enumeration date
06/07/2019
Last updated
03/03/2021
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