Provider Demographics
NPI:1235486218
Name:SINDELMAN BENZAQUEN, MARCI (LCSW)
Entity Type:Individual
Prefix:
First Name:MARCI
Middle Name:
Last Name:SINDELMAN BENZAQUEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 S MANSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3017
Mailing Address - Country:US
Mailing Address - Phone:310-384-2037
Mailing Address - Fax:
Practice Address - Street 1:252 S MANSFIELD AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3017
Practice Address - Country:US
Practice Address - Phone:310-384-2037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health