Individual
JAIME L BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-9200
(443) 923-1895
Mailing address
2931 E BIDDLE ST, BALTIMORE, MD 21213-3939
(443) 923-1886
(443) 923-1875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9171
NH
103T00000X
Psychologist
Primary
05236
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
ND
01
—
9171
LICENSE
NE
Enumeration date
07/22/2010
Last updated
10/25/2012
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