Organization
JG BENEDICT, PHD & ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J G. BENEDICT, PHD PH.D (PRESIDENT)
(720) 466-3509
Entity
Organization
Contact information
Practice address
22485 SUNSET CR., GOLDEN, CO 80401
(720) 466-3509
(303) 753-6498
Mailing address
7555 E. HAMPDEN AVE, #535, DENVER, CO 80231-4836
(303) 358-1455
(720) 535-1934
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
177
CO
103TC0700X
Clinical Psychologist
177
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07025281
—
CO
01
—
95346
BCBS
—
Enumeration date
12/11/2006
Last updated
11/26/2012
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