Lillian Bengtson, SE

NPI #1225601214 in Pocatello, Idaho

Provider Information

NPI Number: 1225601214
Entity Type: Individual
Name: Lillian Bengtson, SE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: SE
Enumeration Date: Jul 19, 2021
Last Updated: Sep 9, 2025

Practice Location

Address: 500 S 11TH AVE STE 400
City: Pocatello
State: Idaho
ZIP Code: 83201-4880
Phone: (208) 232-7862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Student in an Organized Health Care Education/Training Program	390200000X
Psychologist	103T00000X	Primary

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