Healthcare Provider Details

I. General information

NPI: 1730094426
Provider Name (Legal Business Name): HEATHER MARIE BENDIG LPC, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 ABBOTT DR
BROOMALL PA
19008-4317
US

IV. Provider business mailing address

805 LORRAINE DR
SPRINGFIELD PA
19064-1004
US

V. Phone/Fax

Practice location:
  • Phone: 484-476-1847
  • Fax:
Mailing address:
  • Phone: 610-453-2279
  • Fax: 610-453-2279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020831
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: