Individual
BENJAMIN LUKE JOHNSON-MARKVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1685 LEE RD, SUITE 200, WINTER PARK, FL 32789-2262
(407) 303-7991
Mailing address
1685 LEE RD, SUITE 200, WINTER PARK, FL 32789-2262
(407) 303-7991
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8027
FL
Other
Enumeration date
12/14/2009
Last updated
04/30/2012
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