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Individual

ANN T. BENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S.

Contact information

Practice address
120 PONDEROSA DR STE D, CHRISTIANSBURG, VA 24073-6599
(540) 230-6713
Mailing address
120 PONDEROSA DR STE D, CHRISTIANSBURG, VA 24073-6599
(540) 230-6713

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0803000122
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119081
TRIGON PROVIDER NUMBER
VA
Enumeration date
03/30/2007
Last updated
10/19/2022
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