Doctor Name: | KATE BENAS |
NPI Number: | 1124423686 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 72-059908 |
Business Practice Address: | 118 Freeville Rd. Dryden, NY - 130530088 |
Business Phone Number: | 6078448694 |
Business Fax Number: | 6078445174 |
Mailing Address: | Po Box 88, DRYDEN |
State: | NY |
Postal Code: | 130530088 |
Phone Number: | 6078448694 |
Fax Number: | 6078445174 |
NPI Enumeration Date: | 10/27/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 72-059908 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |