Individual
MICHELLE L BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1713 6TH AVE S, BIRMINGHAM, AL 35294-0018
(205) 934-6054
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
1777
AL
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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