BENJAMIN DICKTER

SCOTT AFB, IL
NPI1295288264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: WY  680)
Enumeration Date2016-07-26
Last Update Date2024-08-08
Business Address
BENJAMIN DICKTER
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-9355
Mailing Address
BENJAMIN DICKTER
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-9355