| Doctor Name: | ROBERT WILLIAM BENSON |
| NPI Number: | 1730166596 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 265 |
| Business Practice Address: | Star Trek Drive West Milford, WV - 264510154 |
| Business Phone Number: | 3047454710 |
| Business Fax Number: | 3047454710 |
| Mailing Address: | Po Box 154, Star Trek Drive WEST MILFORD |
| State: | WV |
| Postal Code: | 264510154 |
| Phone Number: | 3047454710 |
| Fax Number: | 3047454710 |
| NPI Enumeration Date: | 12/22/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 265 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |