Susan Benson, LMFT

Individual provider Active NPI Marriage & Family Therapist · Warren, RI

NPI 1720190465 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720190465
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFT00066 (RI)
Practice address
5 Terrace Ave
Warren, RI 02885-2234
Phone
(401) 245-5745
Fax
(401) 289-0287
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFT00066RIMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT00066 RI Yes

Addresses

Primary practice location

5 Terrace Ave
Warren, RI 02885-2234

Mailing address

5 Terrace Ave
Warren, RI 02885-2234
Phone (401) 245-5745

Other identifiers

IdentifierTypeStateIssuer
0133960OtherRINHP
26603-9OtherRIBLUE CROSS/ BLUE SHIELD
410575OtherRIBLUE CHIP
017595OtherRIVALUE OPTIONS
62-97347OtherRIUNITED BEHAVIORAL HEALTH
2183021OtherRICIGNA
0007611562OtherRIAETNA

Other providers in Warren, RI

All providers in Warren, RI · Marriage & Family Therapist in Rhode Island

Sources for this page

Verify at the official NPI Registry.