Individual
DR. MYCHELE RENAE BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
71 ARSENAL ST, AUGUSTA, ME 04330-5734
(000) 000-0000
Mailing address
71 ARSENAL ST, AUGUSTA, ME 04330-5734
(952) 261-5408
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1515
ME
103TC1900X
Counseling Psychologist
1515
ME
103TF0200X
Forensic Psychologist
1515
ME
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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