MEDICARE: BENITA STEVENS

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	174400000X	Specialist	OC006859L	PA

General Provider Information

NPI Number	:	1801000849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENITA STEVENS

Provider Business Mailing Address
First Line	:	2607 WELSH RD APT F306
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-3320
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2607 WELSH RD APT F306
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-3320
Country	:	US
Telephone Number	:	215-432-6088
Fax Number	:

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

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1063487627 — AMERICAN ACCESS CARE OF PENNSYLVANIA LLC
Practice Location Address:

7959 BUSTLETON AVE
PHILADELPHIA, PA
19152-3320

Practice Phone: 215-742-5662
Practice Fax: 215-742-5663

1407846090 — RICHARD J GRAY MD
Practice Location Address:

7959 BUSTLETON AVE
PHILADELPHIA, PA
19152-3320

Practice Phone: 215-742-5662
Practice Fax: 215-742-5663

1942516430 — AMERICAN ACCESS CARE OF PENNSYLVANIA LLC
Practice Location Address:

7959 BUSTLETON AVE
PHILADELPHIA, PA
19152-3320

Practice Phone: 215-742-5662
Practice Fax:

1477843688 — SHADI SALLIT M.D.
Practice Location Address:

7959 BUSTLETON AVE
PHILADELPHIA, PA
19152-3320

Practice Phone: 215-742-5662
Practice Fax:

1114363140 — MS. CAROL MARTIN JOHNSON MA, ATR-BC, LPC
Practice Location Address:

4919 PENTRIDGE ST
PHILADELPHIA, PA
19143-3320

Practice Phone: 267-608-5354
Practice Fax: 610-387-6056

1306255450 — LOIS KELLER MS, LPC
Practice Location Address:

4919 PENTRIDGE ST
PHILADELPHIA, PA
19143-3320

Practice Phone: 717-473-7576
Practice Fax:

Directions to “ BENITA STEVENS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.