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Individual

DAVID BENJAMIN BENDOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT., HARTFORD, CT 06106-3310
(860) 545-7665
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002973
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008029738
CT
Enumeration date
12/23/2006
Last updated
02/07/2013
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