Individual
BENJAMIN R SKLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HSPP
Contact information
Practice address
720 N MARR RD, COLUMBUS, IN 47201-6660
(812) 314-3500
(812) 378-8367
Mailing address
720 N MARR RD, COLUMBUS, IN 47201-6660
(812) 314-3500
(812) 378-8367
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040418A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20040418A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200013100A
—
IN
Enumeration date
02/01/2006
Last updated
06/03/2019
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