| John M. Benda Psychotherapy Services, Inc. | |
|
4005 W 65th St #216 Edina MN 55435-1720 | |
| (612) 929-0781 | |
| (952) 285-6780 |
| Full Name | John M. Benda Psychotherapy Services, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4005 W 65th St, Edina, Minnesota |
| Authorized Official Name and Position | John M. Benda (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6129290781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M. Benda Psychotherapy Services, Inc. 2911 W 40th St Minneapolis MN 55410-1111 Ph: (612) 929-0781 | John M. Benda Psychotherapy Services, Inc. 4005 W 65th St #216 Edina MN 55435-1720 Ph: (612) 929-0781 |
| NPI Number | 1861644668 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861644668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13217 (Minnesota) | Primary |
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