Individual
DR. SHELLEY BLACK BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12820 HILLCREST RD, C123, DALLAS, TX 75230-1526
(214) 784-8169
(972) 517-7197
Mailing address
12820 HILLCREST RD, C123, DALLAS, TX 75230-1526
(214) 784-8169
(972) 517-7197
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32387
TX
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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