Provider Demographics
NPI:1801129556
Name:BENDIG, PETE J JR (PHD/ABD, LPC)
Entity type:Individual
Prefix:
First Name:PETE
Middle Name:J
Last Name:BENDIG
Suffix:JR
Gender:M
Credentials:PHD/ABD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 330
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-0330
Mailing Address - Country:US
Mailing Address - Phone:484-472-7530
Mailing Address - Fax:484-472-7530
Practice Address - Street 1:953 DALE RD
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-3414
Practice Address - Country:US
Practice Address - Phone:484-472-7530
Practice Address - Fax:484-472-7530
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional