Healthcare Provider Details

I. General information

NPI: 1801013958
Provider Name (Legal Business Name): LORI KAY BENSON MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 12/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 S UNIVERSITY BLVD
DENVER CO
80210-6029
US

IV. Provider business mailing address

2685 S WINONA CT
DENVER CO
80219-5644
US

V. Phone/Fax

Practice location:
  • Phone: 303-667-3664
  • Fax:
Mailing address:
  • Phone: 303-667-3664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: