Provider Demographics
NPI:1700362258
Name:ERBES, BENJAMIN ADAM (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:ADAM
Last Name:ERBES
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 LINCOLN WAY STE 4
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-7595
Mailing Address - Country:US
Mailing Address - Phone:515-239-4410
Mailing Address - Fax:515-663-4885
Practice Address - Street 1:3600 LINCOLN WAY STE 4
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50014-7595
Practice Address - Country:US
Practice Address - Phone:515-239-4410
Practice Address - Fax:515-663-4885
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA089125103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling