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Contact Information

ANDREA L BENJAMIN, MA LP
24 SOUTH OLIVE ST SUITE 105
WACONIA, MN55387
 Phone: 952-442-5005
 Fax: 952-442-7586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANDREA L BENJAMIN · (Female)

NPI # 1649986043
Status Active
Credentials MA LP
Entity Individual
Enumeration date 01/30/2023
Last updated 01/30/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # LP2926
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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