Individual
MR. BENJAMIN TRISTAN VONDERSCHMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYS.
Contact information
Practice address
1520 SAINT CHARLES ST STE 2, JASPER, IN 47546-1878
(502) 314-5966
Mailing address
1520 SAINT CHARLES ST STE 2, JASPER, IN 47546-1878
(502) 314-5966
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10089092
IN
Other
Enumeration date
07/31/2024
Last updated
09/20/2024
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