IndividualActive
Bryan Benitez, PHD
NPI 1114892080 · Psychologist · Wallingford, CT
Provider details
- NPI number
- 1114892080
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 004591 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
41 Highland Ave
Wallingford, CT 06492-2105
Phone: (786) 316-1957
Approximate (ZIP-level) locationGet directions
Mailing address
41 Highland Ave
Wallingford, CT 06492-2105
Registry dates
- Enumerated
- 2025-10-09
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.