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Individual

DR. JULIE S. BENZAQUEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD.

Contact information

Practice address
3345 GLENMORE AVE, CINCINNATI, OH 45211-6543
(513) 481-7500
Mailing address
3345 GLENMORE AVE, CINCINNATI, OH 45211-6543
(513) 481-7500

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6743
OH
103TC0700X
Clinical Psychologist
B10000771
DE
103TC0700X
Clinical Psychologist
PS016538
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0141933
NJ
05
4134869
MD
Enumeration date
08/28/2007
Last updated
01/06/2011
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