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LILLIAN BENGTSON, SE

SE

Psychologist

NPI: 1225601214IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor

Counselor

Code: 101Y00000X

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

SE203528(ID)
PsychologistPrimary

Psychologist

Code: 103T00000X

9871578(ID)

CMS Specialties

PrimaryCLINICAL PSYCHOLOGIST

Education

OTHER

Class of 2024

Contact & Hours

Address
500 S 11TH AVE STE 400
POCATELLO, ID 83201

Quick Facts

NPI
1225601214
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
2

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