Individual provider · Type 1 NPI
Gordon L. Benson, PhD
Health Service Psychologist · Fitchburg, MA
Practice location
545 Westminster St
Fitchburg, MA 01420-4727
Fax (975) 342-8495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 6718 (MA) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1376662650
Gordon L. Benson, PhD's National Provider Identifier is 1376662650, issued on Mar 28, 2007. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Fitchburg, MA. The record was last updated on Jul 9, 2007.