Individual
DR. MINA LANI BEVENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, MSW, MED
Contact information
Practice address
8 THE GREEN, SUITE 8392, DOVER, DE 19901
(484) 361-4611
Mailing address
8 THE GREEN, SUITE 8392, DOVER, DE 19901
(484) 361-4611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0011824
DE
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q1-0011824
DIVISION OF PROFESSIONAL REGULATION
DE
Enumeration date
05/01/2018
Last updated
10/04/2023
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