IndividualActive
Susan Benedict
NPI 1740369214 · Neurology with Special Qualifications in Child Neurology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1740369214
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 4788504-1205 (UT)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 4788504-1205 (UT)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 587-7575
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 413021
Salt Lake City, UT 84141-3021
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.