Most Relevant Information
Provider Data
| NPI Number: | 1003465048 |
| Provider Name: | BENJAMIN HINDLE HAZEN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | PC010952 |
Most Important Dates
| Enumeration Date: | 09/11/2019 |
| Last Updated: | 09/18/2019 |
Provider Practice Location
7811 GERMANTOWN AVE
PHILADELPHIA
PA
191183526
Practice Location Phone/Fax
| Phone: | 2676252552 |
| Fax: |
Provider Mailing Location
1635 CATHARINE ST
PHILADELPHIA
PA
191462036
Provider Mailing Phone/Fax
| Phone: | 2679795930 |
| Fax: |