Individual
BENJAMIN HOMAN NEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
615 N NEVADA AVE STE 4, COLORADO SPRINGS, CO 80903-1075
(719) 505-2461
(719) 634-2563
Mailing address
615 N NEVADA AVE, COLORADO SPRINGS, CO 80903-5004
(415) 244-3960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0004437
CO
Other
Enumeration date
09/25/2008
Last updated
11/19/2020
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