Individual
BECKY ANN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 4TH ST N, FARGO, ND 58102-4514
(701) 446-1000
Mailing address
415 4TH ST N, FARGO, ND 58102-4514
(701) 446-1000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
235Z00000X
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55936
—
ND
Enumeration date
03/08/2012
Last updated
03/08/2012
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