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Individual

BENJAMIN MOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPH

Contact information

Practice address
6913 STATE HIGHWAY 161, #325-2, IRVING, TX 75039-2432
(214) 283-9852
Mailing address
6913 STATE HIGHWAY 161, #325-2, IRVING, TX 75039-2432
(214) 283-9852

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
133NN1002X
Nutrition Education Nutritionist
174400000X
Specialist
Primary
225100000X
Physical Therapist

Other

Enumeration date
11/26/2014
Last updated
05/08/2015
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