Benson, Gordon L.

Benson, Gordon L. is an individual health care provider with primary practice located at 545 Westminster St , Fitchburg MA 01420-4727. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Benson, Gordon L. can be contacted via phone (978) 342-0685.

Contact Information

Primary practice address
545 Westminster St Fitchburg MA 01420-4727
Phone: (978) 342-0685
Fax: (975) 342-8495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 6718 Massachusetts

Profile Details

NPI number 1376662650
LBN Legal business name Benson, Gordon L.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376662650 NPPES
Massachusetts Other 5 MARRIAGE & FAMILY THERAPY
Massachusetts Other 6718 MARRIAGE & FAMILY THERAPY

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