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Contact Information

BENJAMIN GREENBERG, PSY.D.
1221 S SAINT FRANCIS DR STE B
SANTA FE, NM87505-4036
 Phone: 505-629-6853
 Fax: 505-372-6979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BENJAMIN GREENBERG · (Male)

NPI Number 1902275365
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 09/16/2015
Last updated 06/24/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PSY004333
  • NM License # PSY1721
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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