Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENNY S WILLIS, PH.D.
Active Sole ProprietorDR. BENNY S WILLIS, PH.D. is a Child, Clinical Psychologist healthcare provider located in ARLINGTON, Massachusetts. NPI 1407905995 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · ARLINGTON, MA
Registration Details
- NPI Number
- 1407905995
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2007 (19.571462728792 yrs)
- Last Updated
- Nov 25, 2015
- Licenses
-
6244 (MA)6244 (MA)6244 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
691 MASSACHUSSETS AVENUESUITE 10ARLINGTON, MA, 024791648Browse MA providers · Browse ZIP 02479
- Phone
- 6172424228
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Psychologist
- Additional Specialty
- Child, Clinical Psychologist
Other Child, Clinical Psychologist Providers in ARLINGTON, MA
| Name | Credential | NPI |
|---|---|---|
| ANNASTASIA SAMOILOV CHASE | PH.D. | 1548223167 |
| DR. LINDA R. DOWNEY | PSY.D. | 1861402877 |
| DR. ANNE CANGELLO | PSY.D. | 1336219955 |
| LAUREN A KILLEEN | PH.D. | 1972814499 |
| ADAM MICHAEL REID | PHD | 1124540190 |
| DR. DAVID KERR WILCOX | ED.D. | 1164912671 |
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.