Organization
BENSON PSYCHOLOGICAL SERVICES, PC
Active
Parent organization
BENSON PSYCHOLOGICAL SERVICES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENSON PSYCHOLOGICAL SERVICES, PC
Authorized official
RICHARD MICHAEL BENSON (EXECUTIVE DIRECTOR)
(701) 297-7540
Entity
Organization
Contact information
Practice address
200 5TH ST S, SUITE 205, MOORHEAD, MN 56560
(701) 297-7540
(701) 297-6439
Mailing address
1308 23RD ST S, FARGO, ND 58103-3707
(701) 297-7540
(701) 297-6439
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC00827
MN
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10250
—
ND
Enumeration date
02/05/2015
Last updated
02/05/2015
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