Individual
DR. DEBORAH M. BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1670 OLD COUNTRY ROAD, PLAINVIEW, NY 11803
(516) 586-4480
Mailing address
9495 BLIND PASS RD UNIT PH1, ST PETE BEACH, FL 33706-1352
(631) 673-6366
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
011725
NY
103TR0400X
Rehabilitation Psychologist
011725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02187277
—
NY
Enumeration date
06/30/2005
Last updated
01/05/2022
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