Individual
DR. BENJAMIN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147
(267) 861-3685
Mailing address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147-1582
(267) 861-3685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017898
PA
Other
Enumeration date
08/28/2015
Last updated
11/06/2018
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