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J BENACH PSYD LLC NPI 1093215642


NPI Information

NPI: 1093215642
Provider Name: J BENACH PSYD LLC

Doing Business As: J BENACH PSYD LLC

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
4625 E BROADWAY BLVD STE 108
TUCSON, AZ
ZIP 85711
Phone: (520) 999-0852
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J BENACH PSYD LLC is an adult mental health clinic center in Tucson, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. J BENACH PSYD LLC NPI is 1093215642. The provider is registered as an organization entity type.
The provider Is Doing Business As J Benach Psyd Llc.

The provider's business location address is:

4625 E BROADWAY BLVD STE 108
TUCSON, AZ
ZIP 85711-575
Phone: (520) 999-0852

The provider's authorized official is Joseph Benach .
The authorized official title is Psychologist and has the following contact phone number (520) 999-0852.

The enumeration date for this NPI number is 2/20/2018 and was last updated on 2/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health4465ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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