Bender, Heather L

Bender, Heather L is an individual health care provider with primary practice located at 5213 Hickory Park Drive Ste A, Glen Allen VA 23059. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bender, Heather L can be contacted via phone (804) 237-8030.

Contact Information

Primary practice address
5213 Hickory Park Drive Ste A Glen Allen VA 23059
Phone: (804) 237-8030
Fax: (804) 237-8028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003553 Virginia

Profile Details

NPI number 1790899920
LBN Legal business name Bender, Heather L
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Sep 1st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790899920 NPPES
Virginia MEDICAID 010195667
Virginia Other 814662000
Virginia Other 182678
Virginia Other 2138690

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