Provider Demographics
NPI:1184765364
Name:BENTON PERRYMAN ASSOCIATES
Entity type:Organization
Organization Name:BENTON PERRYMAN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:HERITAGE
Authorized Official - Last Name:PERRYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW LICENSED CLINIC
Authorized Official - Phone:609-625-2062
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-0093
Mailing Address - Country:US
Mailing Address - Phone:609-625-2062
Mailing Address - Fax:609-625-2970
Practice Address - Street 1:2209 RTE 50
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-2641
Practice Address - Country:US
Practice Address - Phone:609-625-2062
Practice Address - Fax:609-625-2970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty