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NPI 1861556482 · live from the CMS NPI Registry

Benjamin James Biller, M.S. S.P.E.

Psychologist, Clinical in Cleveland, TN. National Provider Identifier 1861556482, active.

NPI record

NPI1861556482 Type 1 · individual
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location2292 Chambliss Ave Nw, Suite C-2, Cleveland, TN 37311
Practice phone423-479-5672
Mailing addressPo Box 2965, Cleveland, TN 37320
EnumeratedDecember 20, 2006
Last updatedJanuary 4, 2010
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical primary103TC0700XPE0000011766 (TN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.