Doctor Name: | SHANNON BENDER |
NPI Number: | 1962886952 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 520 Hope St Providence, RI - 029062532 |
Business Phone Number: | 4014327052 |
Business Fax Number: | 4012764025 |
Mailing Address: | 2970 Mendon Rd Apt 84, CUMBERLAND |
State: | RI |
Postal Code: | 028643461 |
Phone Number: | 4015565140 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2015 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |