Doctor Name: | MR. TERRY BENDO |
NPI Number: | 1003232521 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | OH1-00-6038 JJQK140 |
Business Practice Address: | 1372 Delia Ave Akron, OH - 443201326 |
Business Phone Number: | 3307613067 |
Business Fax Number: | |
Mailing Address: | 1372 Delia Ave, AKRON |
State: | OH |
Postal Code: | 443201326 |
Phone Number: | 3308650429 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2014 |
NPI Last Update Date: | 03/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | OH1-00-6038 JJQK140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |