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NPI Code Detail

MEDICARE: POLLY BENKSTEIN

MEDICARE: POLLY BENKSTEIN
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
1103TS0200XSchool Psychologist9070DE

General Provider Information

NPI Number : 1528102589
Entity Type Code : Individual
Provider Name (Legal Business Name) : POLLY BENKSTEIN
Provider Business Mailing Address
First Line : 4550 NEW LINDEN HILL RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-2930
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4550 NEW LINDEN HILL RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-2930
Country : US
Telephone Number : 302-552-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 07/08/2007

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Directions to “ POLLY BENKSTEIN ” Practice Location

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