Doctor Name: | CATHERINE BENTON |
NPI Number: | 1053484014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 373116-6004 |
Business Practice Address: | 8188 Highland Dr Suite D4 Sandy, UT - 840936476 |
Business Phone Number: | 8012159445 |
Business Fax Number: | 8019305018 |
Mailing Address: | 3542 Fieldstone Cir, COTTONWOOD HEIGHTS |
State: | UT |
Postal Code: | 841215534 |
Phone Number: | 8012159445 |
Fax Number: | 8019305018 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 373116-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |