Betty Benson, MACCCSP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7904 Issued in MN

Practice address

4800 T-Rex Avenue
Suite 310
Boca Raton, FL 33431

Phone

(800) 681-2056

Fax

(866) 689-6058

NPI assigned

Feb 22, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1487927497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 TIMBER CREEK COURT",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-225-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 T-REX AVENUE",
            "address_2": "SUITE 310",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "800-681-2056",
            "fax_number": "866-689-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "BETTY",
        "name_prefix": "Mrs.",
        "credential": "MACCCSP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SPEECH-LANGUAGE PATHOLOGIST",
            "identifier": "7904",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Bennett
• Lawrence E Bennett, M.D.
• Charlenet Benoit
• Bensadon Medical Psychology & Geriatrics PLLC
• Benjamin Andre Bensadon, PH.D.
• Tara Benson
• Leila Benyounes, RMHCI
• Murray Berall, MD,FRCPC
• Bachir Berbari, MD
• Jeffrey Lynn Bercaw

• Speech-Language Pathologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.