Provider Demographics
NPI:1548363716
Name:BENFIELD, CONNIE YOUNG (PHD ABPP)
Entity type:Individual
Prefix:DR
First Name:CONNIE
Middle Name:YOUNG
Last Name:BENFIELD
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Gender:F
Credentials:PHD ABPP
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Mailing Address - Street 1:534 PROSPERITY RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-5583
Mailing Address - Country:US
Mailing Address - Phone:512-426-8710
Mailing Address - Fax:325-691-6259
Practice Address - Street 1:4601 ANTILLEY RD STE 304
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5914
Practice Address - Country:US
Practice Address - Phone:325-370-8416
Practice Address - Fax:325-691-6259
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2024-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX23323103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDC09OtherBCBS