Individual
BENJAMIN BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6812 N ORACLE RD STE 124, TUCSON, AZ 85704-4256
(520) 297-9878
(520) 297-2242
Mailing address
6812 N ORACLE RD STE 124, TUCSON, AZ 85704-4256
(520) 297-9878
(520) 297-2242
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3750
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0158880
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
11/01/2006
Last updated
07/08/2007
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