Individual
DR. BENJAMIN KEITH CONFORTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
211 PLEASANT HOME RD, BLDG G1, AUGUSTA, GA 30907-0518
(706) 364-5228
(706) 364-5229
Mailing address
211 PLEASANT HOME RD, BLDG G1, AUGUSTA, GA 30907-0518
(706) 364-5228
(706) 364-5229
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36033
TX
103TC2200X
Clinical Child & Adolescent Psychologist
PSY003356
GA
Other
Enumeration date
05/05/2010
Last updated
02/10/2012
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