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Contact Information

SHAWNA M BENSON, PSY. D., LP
11116 ZEALAND AVE N
SOUL WORK COUNSELING #117
CHAMPLIN, MN55316
 Phone: 763-746-0842
 Fax: 763-746-0843
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHAWNA M BENSON · (Female)

NPI # 1447351812
Status Active
Credentials PSY. D., LP
Entity Individual
Enumeration date 09/26/2006
Last updated 06/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP4564
  • MN Medicaid 933103400
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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