Individual
LOIS A BENISHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7112 CRESHEIM RD, PHILADELPHIA, PA 19119-2429
(215) 432-9920
Mailing address
7112 CRESHEIM RD, PHILADELPHIA, PA 19119-2429
(215) 432-9920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS008573L
PA
103TC1900X
Counseling Psychologist
Primary
PS008573L
PA
Other
Enumeration date
07/12/2017
Last updated
01/02/2024
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