Individual
HEATHER BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
17949 W LAWRENCE LN, WADDELL, AZ 85355-7514
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
07/21/2022
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