Individual
BENJAMIN SCOTT BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 802-0394
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 802-0394
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810008768
VA
171000000X
Military Health Care Provider
Primary
0810008768
VA
171000000X
Military Health Care Provider
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2022
Last updated
04/07/2026
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