Individual
DR. HOWARD ISRAEL BENESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11 KING CHARLES DRIVE, SUITE 11 4B, PORTSMOUTH, RI 02871
(401) 625-1431
(401) 683-6970
Mailing address
PO BOX 349, TIVERTON, RI 02878-0349
(401) 625-1431
(401) 683-6970
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1841
MA
103TC0700X
Clinical Psychologist
Primary
PS00155
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0504165
—
MA
05
—
9009326
—
RI
Enumeration date
09/07/2006
Last updated
07/08/2007
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