Kim A Benson, MA CCC-A
Individual provider Active NPI Audiologist · Stroudsburg, PA
NPI 1891993663 · NPPES record last updated Apr 15, 2008
Key facts
- NPI
- 1891993663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AT001039L (PA)
- Practice address
- 100C Stroud Building RT. 611
Stroudsburg, PA 18360-9064 - Phone
- (570) 421-6112
- Fax
- (570) 421-7066
- NPI assigned
- Jul 3, 2007
- 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)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001039L | PA | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT001039L | PA | Yes |
| Audiologist-Hearing Aid Fitter | 237600000X | AT001039L | PA |
Addresses
Primary practice location
100C Stroud Building RT. 611
Stroudsburg, PA 18360-9064
Mailing address
Stroud Building RT. 611 Suite 100C
Stroudsburg, PA 18360
Phone (570) 421-6112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7263015 | Other | PA | AETNA TRADITIONAL NJ & PA |
| 814334 | Other | PA | FIRST PRIORITY |
| 2736797 | Other | PA | AETNA HMO PA |
| BE1375023 | Other | PA | BLUE CROSS BLUE SHEILD |
| 4899809 | Other | PA | GHI |
| 98857 | Other | PA | LOCAL 825 |
| 1007412000003 | Medicaid | PA | |
| 3531596 | Other | PA | AETNA HMO NJ |
Other providers in Stroudsburg, PA
- Matthew Reid Becan
- Benjamin Ward Beecher
- Benjamin C Schecter MD PC
- Eric Paul Bennicoff
- Benson Hearing & Balance Inc
- Alicia Bercier
- Samantha Berger
- Jennifer Ann Berhel
- Best Building and Embracing Sobriety Together Inc
- Colette Marie Beveridge
All providers in Stroudsburg, PA · Audiologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 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.