Doctor Name: | PETE J BENDIG |
NPI Number: | 1801129556 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD/ABD, LPC |
License Number: | |
Business Practice Address: | 953 Dale Rd Secane, PA - 190183414 |
Business Phone Number: | 4844727530 |
Business Fax Number: | 4844727530 |
Mailing Address: | Po Box 330, SWARTHMORE |
State: | PA |
Postal Code: | 190810330 |
Phone Number: | 4844727530 |
Fax Number: | 4844727530 |
NPI Enumeration Date: | 09/14/2009 |
NPI Last Update Date: | 09/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |