Strack, Benjamin William

Strack, Benjamin William is an sole proprietor health care provider with primary practice located at 23 Corporate Plaza Dr Ste 150 , Newport Beach CA 92660-7908. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Strack, Benjamin William can be contacted via phone (949) 629-2560.

Contact Information

Primary practice address
23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660-7908
Phone: (949) 629-2560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY 24425 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 24425 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY 24425 California
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X PSY 24425
Behavioral Health & Social Service Providers / Family 103TF0000X PSY 24425 California
Behavioral Health & Social Service Providers / Health 103TH0004X PSY 24425 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 24425 California

Profile Details

NPI number 1205119633
LBN Legal business name Strack, Benjamin William
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2011
Last updated Dec 14th, 2018 - about 6 years 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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