| Llc Of Regina Benner | |
|
672a Knowles Ave Southampton PA 18966-4102 | |
| (215) 407-5232 | |
| Not Available |
| Full Name | Llc Of Regina Benner |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 672a Knowles Ave, Southampton, Pennsylvania |
| Authorized Official Name and Position | Regina C Benner (OUTPATIENT THERAPIST) |
| Authorized Official Contact | 2154075232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Llc Of Regina Benner 109 Summit Ave Willow Grove PA 19090-3108 Ph: (121) 540-7523 | Llc Of Regina Benner 672a Knowles Ave Southampton PA 18966-4102 Ph: (215) 407-5232 |
| NPI Number | 1295320083 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295320083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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