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Individual

SHELLY R BENSHOOF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
917 WILDWOOD LANE, SUITE 153, NEBRASKA CITY, NE 68410
(402) 216-0561
(866) 733-2530
Mailing address
917 WILDWOOD LANE, SUITE 153, NEBRASKA CITY, NE 68410
(402) 216-0561
(866) 733-2530

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9177
NE
103T00000X
Psychologist
Primary
850
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025287200
NE
05
10025465700
NE
Enumeration date
07/26/2010
Last updated
02/05/2014
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