Provider Demographics
NPI:1295242014
Name:BENDER, SETH CAMERON (MA)
Entity type:Individual
Prefix:MR
First Name:SETH
Middle Name:CAMERON
Last Name:BENDER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 S GRANT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-1719
Mailing Address - Country:US
Mailing Address - Phone:720-383-1113
Mailing Address - Fax:
Practice Address - Street 1:720 S. COLORADO BLVD.
Practice Address - Street 2:NORTH PENTHOUSE TOWER, SUITE 1353N
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246
Practice Address - Country:US
Practice Address - Phone:720-370-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0108104101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health