| Samantha T. Bender, Ph.d., Llc | |
|
4915 Auburn Ave Suite 110 Bethesda MD 20814-2636 | |
| (301) 718-2971 | |
| (301) 718-2972 |
| Full Name | Samantha T. Bender, Ph.d., Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4915 Auburn Ave, Bethesda, Maryland |
| Authorized Official Name and Position | Samantha T Bender (SOLE PROPRIETOR) |
| Authorized Official Contact | 3017182971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha T. Bender, Ph.d., Llc 4915 Auburn Ave Suite 110 Bethesda MD 20814-2636 Ph: (301) 718-2971 | Samantha T. Bender, Ph.d., Llc 4915 Auburn Ave Suite 110 Bethesda MD 20814-2636 Ph: (301) 718-2971 |
| NPI Number | 1912152703 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912152703 | NPI | - | NPPES |
| 1770529109 | Other | MD | INDIVIDUAL NPI |
| 400939800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 03615 (Maryland) | Primary |
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