Provider Demographics
NPI:1508104944
Name:JANICE L. BENDING, PH.D., INC
Entity Type:Organization
Organization Name:JANICE L. BENDING, PH.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BENDING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:252-489-8874
Mailing Address - Street 1:P. O. BOX 2707
Mailing Address - Street 2:
Mailing Address - City:MANTEO
Mailing Address - State:NC
Mailing Address - Zip Code:27954-9361
Mailing Address - Country:US
Mailing Address - Phone:252-489-8874
Mailing Address - Fax:252-305-8247
Practice Address - Street 1:2400 N CROATAN HWY
Practice Address - Street 2:SUITE F
Practice Address - City:KILL DEVIL HILLS
Practice Address - State:NC
Practice Address - Zip Code:27948-9355
Practice Address - Country:US
Practice Address - Phone:252-489-8874
Practice Address - Fax:252-305-8247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2803101Y00000X
NC7301101YP2500X
KY0296101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty