Organization
LORNA L. BENBENISTY, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORNA L. BENBENISTY PH.D. (LICENSED PSYCHOLOGIST)
(678) 935-9567
Entity
Organization
Contact information
Practice address
10475 MEDLOCK BRIDGE RD, SUITE 315, DULUTH, GA 30097-2002
(678) 935-9567
(678) 935-9568
Mailing address
10475 MEDLOCK BRIDGE RD, SUITE 315, DULUTH, GA 30097-2002
(678) 935-9567
(678) 935-9568
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0001483
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00459797A
—
GA
01
—
1326108820
LORNA L BENBENISTY, PH.D.
GA
Enumeration date
02/23/2007
Last updated
01/11/2010
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