Marianne D. Benash, M.ED.

Individual provider Active NPI Psychologist · Bryn Mawr, PA

NPI 1356566566 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1356566566
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
PS 4135-L (PA)
Practice address
26 Summit Grove Ave
Suite 211
Bryn Mawr, PA 19010-3230
Phone
(610) 527-5595
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PS 4135-LPAMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS 4135-L PA Yes

Addresses

Primary practice location

26 Summit Grove Ave
Suite 211
Bryn Mawr, PA 19010-3230

Mailing address

409 Strathmore Rd
Havertown, PA 19083-3735
Phone (610) 527-5595

Other identifiers

IdentifierTypeStateIssuer
PS 4135-LOtherPASTATE LICENSE #

Other providers in Bryn Mawr, PA

All providers in Bryn Mawr, PA · Psychologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.