| Andrea L Benjamin Malp Ltd | |
|
137 W 1st St Waconia MN 55387-1190 | |
| (952) 442-5005 | |
| (952) 442-7586 |
| Full Name | Andrea L Benjamin Malp Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 137 W 1st St, Waconia, Minnesota |
| Authorized Official Name and Position | Andrea L Benjamin (PSYCOLOGIST) |
| Authorized Official Contact | 9524425005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea L Benjamin Malp Ltd 137 W 1st St Waconia MN 55387-1190 Ph: (952) 442-5005 | Andrea L Benjamin Malp Ltd 137 W 1st St Waconia MN 55387-1190 Ph: (952) 442-5005 |
| NPI Number | 1689666349 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689666349 | NPI | - | NPPES |
| 7H308BE | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP2926 (Minnesota) | Primary |
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