Provider Demographics
NPI:1316992464
Name:BENSON HEARING & BALANCE INC
Entity type:Organization
Organization Name:BENSON HEARING & BALANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MACCCA
Authorized Official - Phone:570-421-6112
Mailing Address - Street 1:STROUD BUILDING RT 611
Mailing Address - Street 2:STE 100C
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360
Mailing Address - Country:US
Mailing Address - Phone:570-421-6112
Mailing Address - Fax:570-421-7066
Practice Address - Street 1:STROUD BUILDING RT 611
Practice Address - Street 2:STE 100C
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360
Practice Address - Country:US
Practice Address - Phone:570-421-6112
Practice Address - Fax:570-421-7066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2736797OtherAETNA
PA0018925570001Medicaid
PABE1375023OtherBCBS
PABE1375023OtherBCBS