| Benson Psychological Services Pc | |
|
1308 23rd St S Suite G Fargo ND 58103-3707 | |
| (701) 297-7540 | |
| Not Available |
| Full Name | Benson Psychological Services Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1308 23rd St S, Fargo, North Dakota |
| Authorized Official Name and Position | Colleen Israelson (BILLING SPECIALIST) |
| Authorized Official Contact | 7012977540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benson Psychological Services Pc 1308 23rd St S Suite G Fargo ND 58103-3707 Ph: (701) 297-7540 | Benson Psychological Services Pc 1308 23rd St S Suite G Fargo ND 58103-3707 Ph: (701) 297-7540 |
| NPI Number | 1477709574 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 08/08/2008 |
| Medicare PECOS PAC ID | 3274681663 |
|---|---|
| Medicare Enrollment ID | O20090422000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477709574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Eileen M Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114949773 PECOS PAC ID: 8527955806 Enrollment ID: I20040302000316 |
| Provider Name | Stacey L Benson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164457040 PECOS PAC ID: 2062415763 Enrollment ID: I20060818000427 |
| Provider Name | Kelly C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376896803 PECOS PAC ID: 7517191018 Enrollment ID: I20131017000170 |
| Provider Name | Justin J Boseck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083937270 PECOS PAC ID: 2466681861 Enrollment ID: I20140205001295 |
| Provider Name | Shannon C Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528397288 PECOS PAC ID: 0244497527 Enrollment ID: I20140626000625 |
| Provider Name | Katie Nylander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386186211 PECOS PAC ID: 9234419243 Enrollment ID: I20161209000085 |
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