Healthcare Provider Details

I. General information

NPI: 1235356288
Provider Name (Legal Business Name): DONALD HOWARD BENSON PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3437 STAGECOACH DR
CASPER WY
82604-5445
US

IV. Provider business mailing address

3437 STAGECOACH DR
CASPER WY
82604-5445
US

V. Phone/Fax

Practice location:
  • Phone: 307-237-5359
  • Fax: 307-237-5779
Mailing address:
  • Phone: 307-251-2061
  • Fax: 307-237-5779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number326
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: