Individual
BENJAMIN DAVID CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
855 HERITAGE PARK BLVD STE 3, LAYTON, UT 84041-5732
(801) 475-3010
(801) 475-3001
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
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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