Provider Demographics
NPI:1720586571
Name:BENZIGER, AMBER LADORNE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:LADORNE
Last Name:BENZIGER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:MRS
Other - First Name:AMBER
Other - Middle Name:L
Other - Last Name:BENZIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AMBER HOOPER
Mailing Address - Street 1:1930 MARLTON PIKE E
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2150
Mailing Address - Country:US
Mailing Address - Phone:856-888-2137
Mailing Address - Fax:
Practice Address - Street 1:1930 MARLTON PIKE E
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2150
Practice Address - Country:US
Practice Address - Phone:856-888-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00602400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional