Individual
DR. KEITH RICHARD BENOFF
Active
Individual
DR. KEITH RICHARD BENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35S100415100
NJ
103T00000X
Psychologist
35S100415100
NJ
174400000X
Specialist
35SI00415100
NJ
Other
Enumeration date
06/16/2005
Last updated
04/11/2011
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