Provider Demographics
NPI:1609803675
Name:BENSON, DARCY (AUD)
Entity Type:Individual
Prefix:DR
First Name:DARCY
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 OAK TREE LN
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-3717
Mailing Address - Country:US
Mailing Address - Phone:415-518-2318
Mailing Address - Fax:
Practice Address - Street 1:9 OAK TREE LN
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-3717
Practice Address - Country:US
Practice Address - Phone:415-518-2318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU693231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ05958ZMedicare PIN