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Contact Information

CATHLEEN BENGTSON, MA, LP
215 SE 2ND AVE
GRAND RAPIDS, MN55744-3615
 Phone: 218-326-1274
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CATHLEEN BENGTSON · (Female)

NPI Number 1003029265
Status Active
Credentials MA, LP
Entity Individual
Enumeration date 05/07/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP2096
  • MN Other 57460BE BCBS OF MINNESOTA
  • MN Other 1009423 PREFERRED ONE
  • MN Other 62 20161 UBH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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