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NPI Code Detail

MEDICARE: NATALIE BENEDETTO PHD

MEDICARE: NATALIE BENEDETTO PHD
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
1101YM0800XMental Health Counselor
2103TC0700XClinical Psychologist38706TX

General Provider Information

NPI Number : 1750939625
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE BENEDETTO PHD
Provider Business Mailing Address
First Line : 2102 ARBOR CREEK DR
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-4065
Country : US
Telephone Number : 469-986-5595
Fax Number :
Provider Business Practice Location Address
First Line : 5700 TENNYSON PKWY STE 300
Second Line :
City : PLANO
State : TX
Zip : 75024-3595
Country : US
Telephone Number : 469-986-5595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2019
Last Update Date : 12/13/2021

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Directions to “ NATALIE BENEDETTO PHD” Practice Location

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