Organization
BENNINGER & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA L BENNINGER PHD (OWNER/CLINICAL PSYCHOLOGIST)
(614) 233-1761
Entity
Organization
Contact information
Practice address
130 NORTHWOODS BLVD STE B, COLUMBUS, OH 43235-7473
(614) 233-1761
Mailing address
130 NORTHWOODS BLVD STE B, COLUMBUS, OH 43235-7473
(614) 233-1761
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0536321
—
OH
01
—
1235584285
NPI TYPE 1
—
Enumeration date
10/27/2022
Last updated
10/27/2022
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