Individual
DR. ANTONIO CEPEDA-BENITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0118660
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048.0118660
PSYCHOLOGIST LICENSE
VT
Enumeration date
12/08/2006
Last updated
01/02/2020
Update your record
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