| Benson Psychological Services, Pc | |
|
200 5th St S Suite 205 Moorhead MN 56560 | |
| (701) 297-7540 | |
| (701) 297-6439 |
| Full Name | Benson Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 200 5th St S, Moorhead, Minnesota |
| Authorized Official Name and Position | Richard Michael Benson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7012977540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benson Psychological Services, Pc 1308 23rd St S Fargo ND 58103-3707 Ph: (701) 297-7540 | Benson Psychological Services, Pc 200 5th St S Suite 205 Moorhead MN 56560 Ph: (701) 297-7540 |
| NPI Number | 1437540929 |
|---|---|
| Provider Enumeration Date | 02/05/2015 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437540929 | NPI | - | NPPES |
| 10250 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC00827 (Minnesota) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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