| Laurel June Benoit, | |
|
324 W Superior St Ste 300, Duluth, MN 55802-1700 | |
| (218) 740-3061 | |
| (218) 740-3044 |
| Full Name | Laurel June Benoit |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 324 W Superior St Ste 300, Duluth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053823104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22991 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | CC00947 (Minnesota) | Primary |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel June Benoit, 413 N 54th Ave W Apt 4, Duluth, MN 55807-2778 Ph: () - | Laurel June Benoit, 324 W Superior St Ste 300, Duluth, MN 55802-1700 Ph: (218) 740-3061 |
Ms. Kelly Jean Ravenfeather, MS ED, LP, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 230 E Superior St Ste 101, Duluth, MN 55802 Phone: 218-726-5433 Fax: 218-279-2844 | |
Mya Camryn Taylor, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 432 N 11th Ave E, Duluth, MN 55805 Phone: 763-442-0726 | |
Mr. James F Gruba, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1401 E 1st St, Duluth, MN 55805 Phone: 218-728-4491 Fax: 218-728-4404 | |
Ruth Elaine Olson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Duluth, MN 55805 Phone: 218-786-5360 | |
Ms. Lisa Marie Fedora, M.A., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 11 E Superior St Ste 415, Duluth, MN 55802 Phone: 218-249-0595 Fax: 218-461-3666 | |
Dr. Tara Lynn Richter, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 205 W 2nd St Ste 120, Duluth, MN 55802 Phone: 218-481-7909 Fax: 218-481-7910 | |
Robin Joy Anderson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 502 E 2nd St, Duluth, MN 55805 Phone: 218-727-8762 |