Individual
JACQUELINE BENOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS MFT
Contact information
Practice address
1517 DURHAM RD, PENNDEL, PA 19047-5707
(215) 752-1541
Mailing address
1517 DURHAM RD, PENNDEL, PA 19047-5707
(215) 752-1541
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
432016096
NY
Other
Enumeration date
09/06/2007
Last updated
12/29/2009
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