Individual
DR. BENJAMIN I DE BOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2916 MARKETPLACE DR STE 206&207, FITCHBURG, WI 53719-5325
(401) 864-6246
Mailing address
2916 MARKETPLACE DR STE 206&207, FITCHBURG, WI 53719-5325
(401) 864-6246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3452-57
WI
103TP2701X
Group Psychotherapy Psychologist
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Other
Enumeration date
06/26/2023
Last updated
01/18/2026
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