Provider Demographics
NPI:1497912562
Name:BENTOV-HAMAM, CHEN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CHEN
Middle Name:
Last Name:BENTOV-HAMAM
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 VILLA NUEVA WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4457
Mailing Address - Country:US
Mailing Address - Phone:650-964-2343
Mailing Address - Fax:
Practice Address - Street 1:2404 VILLA NUEVA WAY
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4457
Practice Address - Country:US
Practice Address - Phone:650-964-2343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT79580106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist