Individual
TEKLA MARY BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, LCAT - P
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
P114846
NY
221700000X
Art Therapist
Primary
P114846
NY
Other
Enumeration date
09/22/2022
Last updated
09/29/2022
Update your record
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