Individual
MR. BENJAMIN COOLEY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
20 ADMINISTRATION RD, BRIDGEWATER, MA 02324-3230
(508) 279-4577
Mailing address
20 ADMINISTRATION RD, BRIDGEWATER, MA 02324-3230
(978) 434-0238
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
PS01650
RI
103TH0100X
Health Service Psychologist
Primary
10630
MA
103TH0100X
Health Service Psychologist
PS01650
RI
Other
Enumeration date
08/28/2014
Last updated
11/13/2023
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