Individual
BENJAMIN MAXWELL ISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MED
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(860) 716-8457
Mailing address
11951 MISSOURI AVE, LOS ANGELES, CA 90025-5229
(860) 716-8457
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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