Organization
STEVEN A. BENSON PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A BENSON PH.D. (OWNER)
(715) 848-0002
Entity
Organization
Contact information
Practice address
500 3RD ST, SUITE 319B, WAUSAU, WI 54403-4885
(715) 848-0002
(715) 848-0390
Mailing address
500 THIRD STREET, SUITE 319B, WAUSAU, WI 54403-4857
(715) 848-0002
(715) 848-0390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1327
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390-86-300
—
WI
Enumeration date
12/12/2008
Last updated
12/12/2008
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