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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRADLEY JUSTIN BENTER, AMFT

Active Sole Proprietor

MR. BRADLEY JUSTIN BENTER, AMFT is a Psychologist healthcare provider located in TRUCKEE, California. NPI 1881222677 is currently active in the NPPES registry. Verify at CMS.

Psychologist · TRUCKEE, CA

Registration Details

NPI Number
1881222677
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2020 (6.4210245776267 yrs)
Last Updated
Mar 29, 2020
License
110993 (CA)
Sole Proprietor
Yes

Practice Information

Address
10116 JIBBOOM ST
TRUCKEE, CA, 961610101
Browse CA providers · Browse ZIP 96161
Phone
2094172819
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in TRUCKEE, CA

Name Credential NPI
DR. ROLF M GODON PH.D. 1265501290
DR. HOLLY ROTH PH.D. 1760552178
PENNY M BARBOSA PH.D. 1811108020
MS. ABIGAL CLINTON FERGUSON 1275728826
DR. LYNELLE ASHLEY TYLER PSY.D. 1851752802
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.