Provider Demographics
NPI:1548411556
Name:BENSON, RONALD IVER (LMHC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:IVER
Last Name:BENSON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-3125
Mailing Address - Country:US
Mailing Address - Phone:812-232-4349
Mailing Address - Fax:812-232-2308
Practice Address - Street 1:619 CHERRY ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-3125
Practice Address - Country:US
Practice Address - Phone:812-232-4349
Practice Address - Fax:812-232-2308
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002022A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health