Individual
DR. JAMES BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 PICCADILLY RD, GREAT NECK, NY 11023-1549
(516) 732-0960
Mailing address
63 PICCADILLY RD, GREAT NECK, NY 11023-1549
(516) 732-0960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
048.0111577
VT
103TC0700X
Clinical Psychologist
048.0111577
VT
Other
Enumeration date
05/20/2015
Last updated
02/05/2026
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