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General NPI Number Information
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NPI Number | 1033897806
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Entity Type | Organization
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Legal Business Name | CATHERINE L BENOIST PSYD LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 1034 S BRENTWOOD BLVD STE 1601
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1216
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Country | US
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Telephone | 847-220-4602
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Fax |
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Provider Business Mailing Address
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Address Line | 1846 PICKFAIR DR
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City | SAINT LOUIS
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State | MO
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Zip | 63146-3626
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Country | US
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Telephone | 314-310-6812
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Fax | 888-940-2010
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | CATHERINE L BENOIST
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Credential | PSYD
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Telephone | 314-310-6812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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