Provider Demographics
NPI:1396951810
Name:BENYEI, CANDACE R (MFT)
Entity type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:R
Last Name:BENYEI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 GILES HILL RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CT
Mailing Address - Zip Code:06896-2511
Mailing Address - Country:US
Mailing Address - Phone:203-938-9309
Mailing Address - Fax:203-938-0632
Practice Address - Street 1:29 GILES HILL RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CT
Practice Address - Zip Code:06896-2511
Practice Address - Country:US
Practice Address - Phone:203-938-9309
Practice Address - Fax:203-938-0632
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000412106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist