Provider Demographics
NPI:1063473619
Name:HELMLINGER, BENITA (PHD PSYCHOLOGY)
Entity Type:Individual
Prefix:DR
First Name:BENITA
Middle Name:
Last Name:HELMLINGER
Suffix:
Gender:F
Credentials:PHD PSYCHOLOGY
Other - Prefix:
Other - First Name:TRUDY
Other - Middle Name:
Other - Last Name:HELMLINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:2740 FULTON AVE
Mailing Address - Street 2:#113
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821
Mailing Address - Country:US
Mailing Address - Phone:916-485-4119
Mailing Address - Fax:916-944-7312
Practice Address - Street 1:2740 FULTON AVE
Practice Address - Street 2:#113
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821
Practice Address - Country:US
Practice Address - Phone:916-485-4119
Practice Address - Fax:916-944-7312
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10915103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0070722Medicaid
R23703Medicare UPIN