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Individual

VIJA BENNETT-PENDINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH. D.

Contact information

Practice address
237 MELVIN AVE S, MORRISVILLE, PA 19067-7030
(215) 378-0551
Mailing address
237 MELVIN AVE S, MORRISVILLE, PA 19067-7030
(215) 378-0551

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005351L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0556032000
BLUE SHIELD, VENDOR
PA
01
BE719027
BLUE CROSS /BLUE SHIELD
PA
Enumeration date
08/09/2007
Last updated
10/07/2007
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