Individual
JON E BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2100 HARRISBURG PIKE, LANCASTER, PA 17601-2644
(717) 544-3172
(717) 544-3229
Mailing address
2100 HARRISBURG PIKE, LANCASTER, PA 17601-2644
(717) 544-3172
(717) 544-3229
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS004295L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001965644
—
PA
Enumeration date
02/13/2006
Last updated
05/01/2017
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