Individual
SCOTT BRADLEY BENTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701-2840
(218) 681-4240
(218) 683-4632
Mailing address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701-2840
(218) 681-4240
(218) 683-4632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4989
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897047500
—
MN
Enumeration date
12/30/2008
Last updated
09/15/2014
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