Individual
DR. JODIE BENABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
#7565809-2501
UT
103T00000X
Psychologist
PSY.0004013
CO
103TC0700X
Clinical Psychologist
Primary
PSY.0004013
CO
Other
Enumeration date
05/09/2007
Last updated
10/25/2023
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