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THOMAS EDWARD BENIAK PHD

Clinical Neuropsychologist

Minneapolis, Minnesota

Provider NPI: 1043227515

Provider Information:
 THOMAS EDWARD BENIAK PHD
Gender: M
Not Sole Proprietor

Practice Location:
5775 WAYZATA BLVD STE 200  MINNEAPOLIS, MN 55416 US
Tel: 952-525-4511  Fax: 952-525-1560

Business Mailing Address:
5775 WAYZATA BLVD STE 200  MINNEAPOLIS, MN 55416 US
Tel: 952-525-4511  Fax: 952-525-1560

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MNLP0706

Other Provider Identifiers:

IssuerNumberStateType
PREFERRED ONE0101496901
MEDICA15-8209801
BLUE CROSS BLUE SHIELD71318BE01
HEALTHPARTNERSHP3723801
AMERICAS PPO76544501
TRIWESTA01501
10088ND05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MN - Page 1

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