Provider Demographics
NPI:1992841720
Name:BENSON UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BENSON UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-586-2213
Mailing Address - Street 1:360 S PATAGONIA ST
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85602-6533
Mailing Address - Country:US
Mailing Address - Phone:520-586-2213
Mailing Address - Fax:520-586-2314
Practice Address - Street 1:360 S PATAGONIA ST
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:AZ
Practice Address - Zip Code:85602-6533
Practice Address - Country:US
Practice Address - Phone:520-586-2213
Practice Address - Fax:520-586-2314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ777196Medicaid