NPI 1740823947 · live from the CMS NPI Registry
Lynelle Benit, School psychologist
Psychologist, School in Portland, OR. National Provider Identifier 1740823947, active.
NPI record
| NPI | 1740823947 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 8835 Sw Canyon Ln, Portland, OR 97225 |
| Practice phone | 503-380-3747 |
| Mailing address | 3890 Sw 96th Ave, Portland, OR 97225 |
| Enumerated | October 21, 2019 |
| Last updated | October 21, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School | 103TS0200X | — |
| Psychologist, School primary | 103TS0200X | 30305 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.