IndividualActive
Benjamin Richter, PSY.D.
NPI 1053658377 · Clinical Neuropsychologist · Peoria, IL
Provider details
- NPI number
- 1053658377
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 071.008614 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
515 Ne Glen Oak Ave
Suite 101
Peoria, IL 61637-3167
Phone: (309) 655-7378
Fax: (309) 655-4609
Approximate (ZIP-level) locationGet directions
Mailing address
515 Ne Glen Oak Ave
Peoria, IL 61637-3167
Registry dates
- Enumerated
- 2013-01-07
- Last updated
- 2013-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.