Organization
BENNER PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BENNER LCSW (MEMBER)
(914) 834-9015
Entity
Organization
Contact information
Practice address
132 E PUTNAM AVE STE 22, COS COB, CT 06807-2724
(914) 834-9015
Mailing address
PO BOX 79, COS COB, CT 06807-0079
(914) 834-9015
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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