Individual
DR. HEATHER L BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5213 HICKORY PARK DRIVE, STE A, GLEN ALLEN, VA 23059
(804) 237-8030
(804) 237-8028
Mailing address
5213 HICKORY PARK DRIVE, STE A, GLEN ALLEN, VA 23059
(804) 237-8030
(804) 237-8028
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003553
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010195667
—
VA
01
—
182678
ANTHEM BCBS
VA
01
—
2138690
ALLIANCE PPO
VA
01
—
814662000
MAGELLAN
VA
Enumeration date
08/17/2006
Last updated
09/01/2015
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