| Doctor Name: | DR. MARK BENNETT BESEN |
| NPI Number: | 1154539641 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 3898 |
| Business Practice Address: | 128 Crest Haven Road Cape May Court House, NJ - 08210 |
| Business Phone Number: | 6094630014 |
| Business Fax Number: | 6094638671 |
| Mailing Address: | 300 Route 50, CORBIN CITY |
| State: | NJ |
| Postal Code: | 082709025 |
| Phone Number: | 6096282524 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3898 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |