Benjamin-Davis, Cory

Benjamin-Davis, Cory is an sole proprietor health care provider with primary practice located at 2307 Stephens Ave Ste A , Missoula MT 59801-7901. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Benjamin-Davis, Cory can be contacted via phone (406) 829-2725.

Contact Information

Primary practice address
2307 Stephens Ave Ste A Missoula MT 59801-7901
Phone: (406) 829-2725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 256 Montana

Profile Details

NPI number 1215093620
LBN Legal business name Benjamin-Davis, Cory
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated May 3rd, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215093620 NPPES
Montana MEDICAID 0491249
Montana Other 51991

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