NPI 1184878159 · live from the CMS NPI Registry
Jessie Angeline Benham, PhD
Psychologist, Clinical in Barling, AR. National Provider Identifier 1184878159, active.
NPI record
| NPI | 1184878159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1311 Fort Street, Ste. J, Barling, AR 72923 |
| Practice phone | 479-452-5040 |
| Mailing address | Po Box 23047, Barling, AR 72923 |
| Enumerated | November 4, 2008 |
| Last updated | November 4, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 92-10P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.