Suzanne Tavoularis Benjestorf, MFT, PHD is a
Counselor - Mental Health based in San Diego, California. Suzanne Tavoularis Benjestorf is licensed to practice in California (license number MFT31894) and her current practice location is
3937 9th Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 298-2401.
NPI number for Suzanne Tavoularis Benjestorf is 1346405693 and her current mailing address is Po Box 83912, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346405693.
Healthcare Provider's Profile
Full Name | Suzanne Tavoularis Benjestorf |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 3937 9th Ave, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346405693
- Provider Enumeration Date: 07/25/2008
- Last Update Date: 09/05/2023
Medical Identifiers
Medical identifiers for Suzanne Tavoularis Benjestorf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346405693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY20520 (California) | Secondary |
101YM0800X | Counselor - Mental Health | MFT31894 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suzanne Tavoularis Benjestorf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Suzanne Tavoularis Benjestorf, MFT, PHD Po Box 83912, San Diego, CA 92138-3912 Ph: (858) 717-4224 | Suzanne Tavoularis Benjestorf, MFT, PHD 3937 9th Ave, San Diego, CA 92103-3210 Ph: (619) 298-2401 |
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