Provider Demographics
NPI:1043356512
Name:BENZLER, SYLVIA KATHRYN (MFT)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:KATHRYN
Last Name:BENZLER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 LA SERENA AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-2121
Mailing Address - Country:US
Mailing Address - Phone:925-820-0296
Mailing Address - Fax:925-820-4643
Practice Address - Street 1:145 EAST PROSPECT AVE.
Practice Address - Street 2:SUITE 215C
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3869
Practice Address - Country:US
Practice Address - Phone:925-855-8500
Practice Address - Fax:925-820-4643
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 15108106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist