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Individual

BENJAMIN DAVID CHRISTIANSEN

Active
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Individual

BENJAMIN DAVID CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3100160-2501
UT
103TC0700X
Clinical Psychologist
3100160-2501
UT
103TF0200X
Forensic Psychologist
3100160-2501
UT
103TH0004X
Health Psychologist
3100160-2501
UT
103TR0400X
Rehabilitation Psychologist
3100160-2501
UT

Other

Enumeration date
08/30/2011
Last updated
01/25/2024
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