| Stephen L. Benson, Psyd, P.a. | |
|
833 N Waco Ave Ste 200 Wichita KS 67203-3955 | |
| (316) 263-2351 | |
| (316) 263-3685 |
| Full Name | Stephen L. Benson, Psyd, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 833 N Waco Ave Ste 200, Wichita, Kansas |
| Authorized Official Name and Position | Stephen L Benson (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3162632351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen L. Benson, Psyd, P.a. 833 N Waco Ave Ste 200 Wichita KS 67203-3955 Ph: (316) 263-2351 | Stephen L. Benson, Psyd, P.a. 833 N Waco Ave Ste 200 Wichita KS 67203-3955 Ph: (316) 263-2351 |
| NPI Number | 1679636609 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6901808823 |
|---|---|
| Medicare Enrollment ID | O20070206000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679636609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1127 (Kansas) | Primary |
| Provider Name | Stephen L Benson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316920473 PECOS PAC ID: 5395753156 Enrollment ID: I20060405000342 |
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