Individual
MRS. BETTY BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSP/L
Contact information
Practice address
4800 T-REX AVENUE, SUITE 310, BOCA RATON, FL 33431
(800) 681-2056
(866) 689-6058
Mailing address
3747 TIMBER CREEK COURT, EAU CLAIRE, WI 54701
(715) 225-8509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7904
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7904
LICENSED SPEECH-LANGUAGE PATHOLOGIST
MN
Enumeration date
02/22/2012
Last updated
02/22/2012
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