MEDICARE: LINDA ALLEN-BENTON MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LGM023	MD

General Provider Information

NPI Number	:	1154353563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ALLEN-BENTON MS

Provider Business Mailing Address
First Line	:	8006 MURRAY HILL DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-4445
Country	:	US
Telephone Number	:	301-567-9422
Fax Number	:

Provider Business Practice Location Address
First Line	:	10905 FORT WASHINGTON RD
Second Line	:	SUITE 202
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5843
Country	:	US
Telephone Number	:	301-292-3994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

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Directions to “ LINDA ALLEN-BENTON MS” Practice Location

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