Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEAN A BENACKER, PHD
Active Sole ProprietorDR. JEAN A BENACKER, PHD is a Clinical Psychologist healthcare provider located in CHAMPAIGN, Illinois. NPI 1093825101 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1093825101
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.912373342503 yrs)
- Last Updated
- Dec 21, 2010
- License
-
071003677 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1701 S PROSPECT AVESUITE 205CHAMPAIGN, IL, 618207050Browse IL providers · Browse ZIP 61820
- Phone
- 2173529206
- Fax
- 2173529186
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT J. LENTZ | PH.D. | 1356334536 |
| DR. JAMES RALPH SMITH | PH.D. | 1659364180 |
| DR. JAMES WILLIAM HANNUM | PH.D. | 1326039140 |
| MAUREEN PATRICIA TWEEDY | — | 1407825110 |
| ANDREA R KLEIN | PHD | 1033135397 |
| DR. TRUDY L. GOOD | PH.D. | 1235244062 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.