Individual
VIJA BENNETT-PENDINO
Active
Individual
VIJA BENNETT-PENDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
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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