Dr. JEAN A BENACKER -- PhD
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1093825101- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PhD
- Status
- Active
Contact & Location
- Address
- 1701 S PROSPECT AVE SUITE 205, CHAMPAIGN, IL, 618207050
- Phone
- (217) 352-9206
- Fax
- (217) 352-9186
Specialties & Taxonomies
Psychologist, Clinical
Primary License: IL #071003677