Individual
MR. BENJAMIN GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1221 S SAINT FRANCIS DR STE B, SANTA FE, NM 87505-4036
(505) 629-6853
(505) 372-6979
Mailing address
50 VERANO LOOP, SANTA FE, NM 87508-8827
(505) 629-6853
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004333
GA
103TC0700X
Clinical Psychologist
PSY1721
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2015
Last updated
06/24/2022
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