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NPI Code Detail

MEDICARE: BENJAMIN HEARN MA, PHD, LPC

MEDICARE:   BENJAMIN  HEARN  MA, PHD, LPC
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
1101YM0800XMental Health CounselorPC015785PA

General Provider Information

NPI Number : 1356888630
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN HEARN MA, PHD, LPC
Provider Business Mailing Address
First Line : 4284 WILLIAM FLYNN HWY STE 304
Second Line :
City : ALLISON PARK
State : PA
Zip : 15101-1440
Country : US
Telephone Number : 412-245-7104
Fax Number :
Provider Business Practice Location Address
First Line : 4284 WILLIAM FLYNN HWY STE 304
Second Line :
City : ALLISON PARK
State : PA
Zip : 15101-1440
Country : US
Telephone Number : 412-245-7104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2017
Last Update Date : 06/18/2024

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Directions to “ BENJAMIN HEARN MA, PHD, LPC” Practice Location

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