| Steven A. Benson Phd, Llc | |
|
500 3rd St Suite 319b Wausau WI 54403-4885 | |
| (715) 848-0002 | |
| (715) 848-0390 |
| Full Name | Steven A. Benson Phd, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 500 3rd St, Wausau, Wisconsin |
| Authorized Official Name and Position | Steven A Benson (OWNER) |
| Authorized Official Contact | 7158480002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven A. Benson Phd, Llc 500 Third Street Suite 319b Wausau WI 54403-4857 Ph: (715) 848-0002 | Steven A. Benson Phd, Llc 500 3rd St Suite 319b Wausau WI 54403-4885 Ph: (715) 848-0002 |
| NPI Number | 1356586713 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 12/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356586713 | NPI | - | NPPES |
| 390-86-300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1327 (Wisconsin) | Primary |
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