Individual
MEGAN M BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1560 LEONARD ST NE, GRAND RAPIDS, MI 49505-5572
(616) 456-6571
Mailing address
1945 HUIZEN AVE SW, WYOMING, MI 49509-1420
(616) 822-1318
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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