Provider Demographics
NPI:1508322280
Name:BENSON, DENISE KATHERINE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:KATHERINE
Last Name:BENSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-2700
Mailing Address - Country:US
Mailing Address - Phone:650-796-8167
Mailing Address - Fax:
Practice Address - Street 1:731 LOLA LN
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3755
Practice Address - Country:US
Practice Address - Phone:650-796-8167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32706106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist