| Lorna L. Benbenisty, Ph.d., Llc | |
|
10475 Medlock Bridge Rd Suite 315 Duluth GA 30097-2002 | |
| (678) 935-9567 | |
| (678) 935-9568 |
| Full Name | Lorna L. Benbenisty, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10475 Medlock Bridge Rd, Duluth, Georgia |
| Authorized Official Name and Position | Lorna L. Benbenisty (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6789359567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorna L. Benbenisty, Ph.d., Llc 10475 Medlock Bridge Rd Suite 315 Duluth GA 30097-2002 Ph: (678) 935-9567 | Lorna L. Benbenisty, Ph.d., Llc 10475 Medlock Bridge Rd Suite 315 Duluth GA 30097-2002 Ph: (678) 935-9567 |
| NPI Number | 1871628271 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871628271 | NPI | - | NPPES |
| 1326108820 | Other | GA | LORNA L BENBENISTY, PH.D. |
| 00459797A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0001483 (Georgia) | Primary |
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