Provider Demographics
NPI:1952550741
Name:BENJAMIN, RUTH ELLEN (LICENSED MINISTER)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ELLEN
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:LICENSED MINISTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16209 HIDDEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-1818
Mailing Address - Country:US
Mailing Address - Phone:952-935-7728
Mailing Address - Fax:
Practice Address - Street 1:10800 LYNDALE AVE S STE 191
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-5614
Practice Address - Country:US
Practice Address - Phone:952-884-5803
Practice Address - Fax:952-884-5804
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral