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NPI Code Detail

MEDICARE: SCOTT BENJAMIN BELANGER PSY.D.

MEDICARE: SCOTT BENJAMIN BELANGER PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist3934AZ
2103G00000XClinical Neuropsychologist3934AZ

General Provider Information

NPI Number : 1679754519
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT BENJAMIN BELANGER PSY.D.
Provider Business Mailing Address
First Line : 5501 N SWAN RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85718-5445
Country : US
Telephone Number : 520-954-9930
Fax Number : 520-342-0136
Provider Business Practice Location Address
First Line : 5501 N SWAN RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85718-5445
Country : US
Telephone Number : 520-954-9930
Fax Number : 520-342-0136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2007
Last Update Date : 05/01/2024

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