Individual
DR. ANDREANA BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, MSC 323, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1275
SC
103TC0700X
Clinical Psychologist
1275
SC
Other
Enumeration date
08/22/2013
Last updated
06/15/2016
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