| 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 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083718290 PECOS PAC ID: 4880637628 Enrollment ID: I20180212002873 |
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