Individual
THOMAS JAY BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
155 HERITAGE DR, MEYERSDALE, PA 15552-6720
(814) 442-6794
(814) 273-8245
Mailing address
155 HERITAGE DR, MEYERSDALE, PA 15552-6720
(814) 442-6794
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW016524
PA
1041C0700X
Clinical Social Worker
CW016524
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029915070001
—
PA
Enumeration date
06/20/2007
Last updated
01/05/2023
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