Jessie Angeline Benham, PHD

NPI #1184878159 in Barling, Arkansas

Provider Information

NPI Number: 1184878159
Entity Type: Individual
Name: Jessie Angeline Benham, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Nov 4, 2008
Last Updated: Nov 4, 2008

Practice Location

Address: 1311 FORT STREET
Address 2: STE. J
City: Barling
State: Arkansas
ZIP Code: 72923
Phone: (479) 452-5040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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