Individual
SUSAN ELIZABETH BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1200 N STONEWALL AVE, JOHN W KEYS SPEECH AND HEARING CENTER, OKLAHOMA CITY, OK 73117-1215
(405) 271-4214
(405) 271-3360
Mailing address
1200 N STONEWALL AVE, JOHN W KEYS SPEECH AND HEARING CENTER, OKLAHOMA CITY, OK 73104-4649
(405) 271-4214
(405) 271-3360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
369
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100661870A
—
OK
Enumeration date
10/24/2005
Last updated
03/12/2009
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