Doctor Name: | DR. KURT P BENSON |
NPI Number: | 1073536801 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 330 |
Business Practice Address: | 1898 Fort Road Sheridan Va Medical Center Sheridan, WY - 82807 |
Business Phone Number: | 3076753349 |
Business Fax Number: | |
Mailing Address: | Po Box 7001, SHERIDAN |
State: | WY |
Postal Code: | 828017001 |
Phone Number: | 3076753349 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 05/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 330 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |