DR. JEAN BENACKER, PHD
Psychologist - Clinical
Active
Individual
NPI: 1093825101
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 071003677 (IL) |
Frequently Asked Questions
NPI 1093825101 is the National Provider Identifier for DR. JEAN BENACKER, PHD, a Psychologist - Clinical provider located in Champaign, IL. This NPI was enumerated on August 30, 2006.
DR. JEAN BENACKER, PHD practices at 1701 S PROSPECT AVE, SUITE 205, Champaign, IL 61820.
Quick Facts
- NPI
- 1093825101
- Type
- Individual
- Enumerated
- Aug 30, 2006
- Last Updated
- Dec 21, 2010
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