Provider Demographics
NPI:1700031010
Name:BENSOUSSAN-YAMPEL, YUDIT (MS, MENTAL HEALTH CO)
Entity Type:Individual
Prefix:MRS
First Name:YUDIT
Middle Name:
Last Name:BENSOUSSAN-YAMPEL
Suffix:
Gender:F
Credentials:MS, MENTAL HEALTH CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ARCADIAN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1125
Mailing Address - Country:US
Mailing Address - Phone:845-364-0705
Mailing Address - Fax:
Practice Address - Street 1:9 ARCADIAN DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1125
Practice Address - Country:US
Practice Address - Phone:845-364-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health