Provider Demographics
NPI:1164688008
Name:BENDER, UTE E (MA)
Entity Type:Individual
Prefix:
First Name:UTE
Middle Name:E
Last Name:BENDER
Suffix:
Gender:F
Credentials:MA
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 51
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-0051
Mailing Address - Country:US
Mailing Address - Phone:831-372-4000
Mailing Address - Fax:831-372-4000
Practice Address - Street 1:2600 GARDEN RD
Practice Address - Street 2:SUITE 302
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5311
Practice Address - Country:US
Practice Address - Phone:831-372-4000
Practice Address - Fax:831-372-4000
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 31204106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist