| Doctor Name: | DR. STEVEN GARRITT BENISH |
| NPI Number: | 1164685582 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 3089125 |
| Business Practice Address: | 1900 N Dewey Ave Reedsburg, WI - 539592214 |
| Business Phone Number: | 6085246477 |
| Business Fax Number: | 6085248305 |
| Mailing Address: | 1900 N Dewey Ave, REEDSBURG |
| State: | WI |
| Postal Code: | 539592214 |
| Phone Number: | 6085246477 |
| Fax Number: | 6085248305 |
| NPI Enumeration Date: | 07/07/2008 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3089125 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |