Stacey L Benson is a Psychologist in Fargo, North Dakota. Stacey L Benson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stacey L Benson is 1164457040. The last update date is 2007-07-08.
Stacey L Benson's current location address is 2624 9th Ave S, Fargo, North Dakota. You can contact this provider via phone number 7012984500 and fax number 7012984400. The mailing address for Stacey L Benson is 2624 9th Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey L Benson |
|---|---|
| Address | 2624 9th Ave S, Fargo, North Dakota |
| Phone Number | 7012984500 |
| Fax Number | 7012984400 |
| Sole Proprietor | N |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1164457040 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2624 9th Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581032350 |
| Phone Number | 7012984500 |
| Fax Number | 7012984400 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | ND 327 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26706 | ND | BCBS OF ND PIN |
Post Comment/ Review Below
What is the Stacey L Benson's 1164457040?
The Stacey L Benson's NPI (National Provider Identifier) Number is 1164457040. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stacey L Benson is physically located?
The Stacey L Benson is physically situated at the following address: 2624 9Th Ave S, Fargo, ND, 581032350.
What is Stacey L Benson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacey L Benson's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did Stacey L Benson receive its 1164457040 assignment from the Centers for Medicare & Medicaid Services?
The Stacey L Benson was assigned its 1164457040 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Stacey L Benson most recently updated or revised?
The information pertaining to Stacey L Benson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.