Individual
MRS. TRICIA M BENISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-LPE
Contact information
Practice address
23111 INTERSTATE 30, BRYANT, AR 72022-2570
(501) 847-5040
(501) 847-5060
Mailing address
23111 INTERSTATE 30, BRYANT, AR 72022-2570
(501) 847-5040
(501) 847-5060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
09-02 AU-PL
AR
103T00000X
Psychologist
Primary
10-20P
AR
Other
Enumeration date
11/21/2008
Last updated
05/16/2019
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