Organization
SAMANTHA T. BENDER, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA T BENDER PH.D. (SOLE PROPRIETOR)
(301) 718-2971
Entity
Organization
Contact information
Practice address
4915 AUBURN AVE, SUITE 110, BETHESDA, MD 20814-2636
(301) 718-2971
(301) 718-2972
Mailing address
4915 AUBURN AVE, SUITE 110, BETHESDA, MD 20814-2636
(301) 718-2971
(301) 718-2972
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
03615
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770529109
INDIVIDUAL NPI
MD
05
—
400939800
—
MD
Enumeration date
11/21/2008
Last updated
11/21/2008
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