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NPI Code Detail

MEDICARE: BENJAMIN R SKLAR HSPP

MEDICARE:   BENJAMIN R SKLAR  HSPP
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
1103TC2200XClinical Child & Adolescent Psychologist20040418AIN
2103TC0700XClinical Psychologist20040418AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588636963
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN R SKLAR HSPP
Provider Business Mailing Address
First Line : 720 N MARR RD
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-6660
Country : US
Telephone Number : 812-314-3500
Fax Number : 812-378-8367
Provider Business Practice Location Address
First Line : 720 N MARR RD
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-6660
Country : US
Telephone Number : 812-314-3500
Fax Number : 812-378-8367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 06/03/2019

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Directions to “ BENJAMIN R SKLAR HSPP” Practice Location

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