Benton-Herzberg, Kimberly

Benton-Herzberg, Kimberly is an sole proprietor health care provider with primary practice located at 118 Hayward Ave Suite 8 , Ames IA 50014. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Benton-Herzberg, Kimberly can be contacted via phone (515) 290-1534.

Contact Information

Primary practice address
118 Hayward Ave Suite 8 Ames IA 50014
Fax: (319) 865-3110
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00593 Iowa

Profile Details

NPI number 1114991320
LBN Legal business name Benton-Herzberg, Kimberly
Credentials M.S.W
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1114991320 NPPES
Iowa MEDICAID 0058230

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