Individual
MR. MUSTAPHA BENSOUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1239 BOSTON RD, BRONX, NY 10456-3614
(551) 751-0065
Mailing address
1239 BOSTON RD, BRONX, NY 10456-3614
(646) 410-1426
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
124658-01
NY
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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