Individual
MARK BENDER
Active
Individual
MARK BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LCP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089628M
SENTARA BEHAVIORAL
VA
01
—
143013
ANTHEM
VA
01
—
191628
HEALTHKEEPERS
VA
01
—
248881
COMPSYCH
VA
01
—
346283000
MAGELLAN
VA
01
—
7651485
AETNA
VA
Enumeration date
06/14/2006
Last updated
03/20/2023
Update your record
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