Organization
NEUROCOVE BEHAVIORAL HEALTH, LLC
Active
Other names
Benson Munyan, PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENSON GEORGE MUNYAN III PHD (DIRECTOR)
(321) 754-9099
Entity
Organization
Contact information
Practice address
1317 EDGEWATER DR # 117, ORLANDO, FL 32804-6350
(321) 754-9099
Mailing address
3564 AVALON PARK E BLVD STE 1, IPMB 3039, ORLANDO, FL 32828-6350
(321) 754-9099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1AOUI
BCBS FLORIDA BLUE
FL
Enumeration date
05/11/2021
Last updated
10/12/2022
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