| Doctor Name: | ANNE BENEVENTO |
| NPI Number: | 1851343800 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 015252 |
| Business Practice Address: | 87 S Route 9w Haverstraw, NY - 109271700 |
| Business Phone Number: | 8454295381 |
| Business Fax Number: | 8454293001 |
| Mailing Address: | 1 Old Country Rd, Suite 271 CARLE PLACE |
| State: | NY |
| Postal Code: | 115141801 |
| Phone Number: | 8007256280 |
| Fax Number: | 8007256380 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 015252 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |