Richard L Benson Phd Pa | |
8826 Santa Fe Dr Ste 170 Overland Park KS 66212-3673 | |
(913) 438-2100 | |
(913) 438-2119 |
Full Name | Richard L Benson Phd Pa |
---|---|
Speciality | Psychologist |
Location | 8826 Santa Fe Dr Ste 170, Overland Park, Kansas |
Authorized Official Name and Position | Richard L Benson (PRESIDENT) |
Authorized Official Contact | 9134382100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Richard L Benson Phd Pa 8826 Santa Fe Dr Ste 170 Overland Park KS 66212-3673 Ph: (913) 438-2100 | Richard L Benson Phd Pa 8826 Santa Fe Dr Ste 170 Overland Park KS 66212-3673 Ph: (913) 438-2100 |
NPI Number | 1144729591 |
---|---|
Provider Enumeration Date | 02/12/2018 |
Last Update Date | 02/12/2018 |
Medicare PECOS PAC ID | 8426318486 |
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Medicare Enrollment ID | O20180212002800 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144729591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP1343 (Kansas) | Primary |
Provider Name | Richard L Benson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083718290 PECOS PAC ID: 4880637628 Enrollment ID: I20180212002873 |
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