Kelly S Benedict in Bloomington - Marriage & Family Therapist
Kelly S Benedict - NPI 1376632109
Kelly S Benedict is a Marriage & Family Therapist in Bloomington, Indiana. Kelly S Benedict practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kelly S Benedict is 1376632109. The last update date is 2009-08-27.
Kelly S Benedict's current location address is 645 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123391691 and fax number 8123788367. The mailing address for Kelly S Benedict is 645 S Rogers St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly S Benedict |
|---|---|
| Address | 645 S Rogers St, Bloomington, Indiana |
| Phone Number | 8123391691 |
| Fax Number | 8123788367 |
| Sole Proprietor | N |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1376632109 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2009-08-27 |
Provider Mailing Address Detail
| Address | 645 S Rogers St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032353 |
| Phone Number | 8123391691 |
| Fax Number | 8123788367 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 35000784A |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 222727 | IN | ANTHEM PIN # | |
| 100177270A | IN | -- | |
| 278804000 | IN | MAGELLAN PIN# | |
| 7075431 | IN | AETNA PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly S Benedict?
The Kelly S Benedict has been issued the NPI (National Provider Identifier) 1376632109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kelly S Benedict's facilities are geographically located?
The facilities of Kelly S Benedict are physically situated at the following location: 645 S Rogers St, Bloomington, IN, 474032353.
What is Kelly S Benedict's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly S Benedict is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did Kelly S Benedict receive its 1376632109 assignment from the Centers for Medicare & Medicaid Services?
The Kelly S Benedict was assigned its 1376632109 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kelly S Benedict, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly S Benedict, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-27.
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