Bendor, David Benjamin

Bendor, David Benjamin is an individual health care provider with primary practice located at 200 Retreat Avenue Hartford Hospital Psychiatry Dept., Hartford CT 06106-3310. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bendor, David Benjamin can be contacted via phone (860) 545-7665.

Contact Information

Primary practice address
200 Retreat Avenue Hartford Hospital Psychiatry Dept. Hartford CT 06106-3310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002973 Connecticut

Profile Details

NPI number 1164587812
LBN Legal business name Bendor, David Benjamin
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2006
Last updated Feb 7th, 2013 - about 11 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 1164587812 NPPES
Connecticut MEDICAID 008029738

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