Individual
BENJAMIN MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
176 HIGHLAND AVE APT A, EDISON, NJ 08817-2930
(617) 775-9773
Mailing address
176 HIGHLAND AVE APT A, EDISON, NJ 08817-2930
(617) 775-9773
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
35SI00723700
NJ
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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