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NPI Code Detail

MEDICARE: MARLA BENSON

MEDICARE:   MARLA  BENSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist417NE

General Provider Information

NPI Number : 1285093187
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLA BENSON
Provider Business Mailing Address
First Line : 50 W SANDY RIDGE RD
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-0608
Country : US
Telephone Number : 402-649-4041
Fax Number :
Provider Business Practice Location Address
First Line : 2563 44TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-8511
Country : US
Telephone Number : 402-649-4041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2016
Last Update Date : 02/19/2016

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Directions to “ MARLA BENSON ” Practice Location

Language Start Address Practice Location
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