Individual
DR. BENJAMIN RIVERS PHALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5404
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-5404
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY8300
FL
103T00000X
Psychologist
Primary
PY8300
FL
Other
Enumeration date
05/17/2007
Last updated
07/17/2013
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