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Contact Information

BENJAMIN CORNELL
31946 MISSION TRAIL
SUITE B
LAKE ELSINORE, CA92530
 Phone: 951-245-7663
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BENJAMIN CORNELL · (Male)

NPI # 1063924728
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2017
Last updated 11/02/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers Not Available
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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