| Doctor Name: | SHELLY R BENSHOOF |
| NPI Number: | 1689987158 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 9177 |
| Business Practice Address: | 917 Wildwood Lane Suite 153 Nebraska City, NE - 68410 |
| Business Phone Number: | 4022160561 |
| Business Fax Number: | 8667332530 |
| Mailing Address: | 917 Wildwood Lane, Suite 153 NEBRASKA CITY |
| State: | NE |
| Postal Code: | 68410 |
| Phone Number: | 4022160561 |
| Fax Number: | 8667332530 |
| NPI Enumeration Date: | 07/26/2010 |
| NPI Last Update Date: | 02/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 9177 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |