MEDICARE: MARLYNN LOPEZ BENITEZ

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1811414451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLYNN LOPEZ BENITEZ

Provider Business Mailing Address
First Line	:	60 W MARKET ST
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-2655
Country	:	US
Telephone Number	:	831-229-8727
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 W MARKET ST
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-2655
Country	:	US
Telephone Number	:	831-229-8727
Fax Number	:

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

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	10/18/2024

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Directions to “ MARLYNN LOPEZ BENITEZ ” Practice Location

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