Individual
KENOSHA BEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18203 WAVERLY BEND LN, CYPRESS, TX 77433-1253
(713) 382-5017
Mailing address
18203 WAVERLY BEND LN, CYPRESS, TX 77433-1253
(713) 382-5017
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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