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Individual

DR. KEITH RICHARD BENOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
700 PALISADE AVENUE, ENGLEWOOD CLIFFS, NJ 07632
(201) 568-3412
(201) 568-8249
Mailing address
700 PALISADE AVENUE, ENGLEWOOD CLIFFS, NJ 07632
(201) 568-3412
(201) 568-8249

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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