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1154515237
BENJAMIN BANISTER
CAMBRIDGE, MA
NPI
1154515237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MA 8748)
Enumeration Date
2007-08-31
Last Update Date
2018-05-15
Business Address
Dr. BENJAMIN BANISTER Psy.D.
1218 MASSACHUSETTS AVE SECOND FLOOR
CAMBRIDGE, MA 02138
Phone number: 617-855-2711
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Mailing Address
Dr. BENJAMIN BANISTER Psy.D.
78 JUNCTION SQUARE DR
CONCORD, MA 01742-3049
Phone number: 978-254-0123
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