Kathie Benson, PSY.D.
Individual provider Active NPI Clinical Psychologist · Niles, IL
NPI 1104084524 · NPPES record last updated Jun 2, 2008
Key facts
- NPI
- 1104084524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 071004742 (IL)
- Practice address
- 6289 W Howard St
Niles, IL 60714-3403 - Phone
- (847) 588-0463
- Fax
- (847) 588-0464
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071004742 | IL | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071004742 | IL | Yes |
Addresses
Primary practice location
6289 W Howard St
Niles, IL 60714-3403
Mailing address
6289 W Howard St
Niles, IL 60714-3403
Phone (847) 588-0463
Other providers in Niles, IL
- Spiro Barlas
- Laura L Baron
- Paul S Bartkowski
- Stephanie Denise Bell
- Svetlana Belovol
- Doha Qatrina Pascual Bergantinos
- Raymond J Bielinski
- Antonio E Bifero
- Grzegorz Bigaj
- Muhammad Shoaib Bilal
All providers in Niles, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.