Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 1061 | SC |
Y | 103TC1900X | Counseling Psychologist | 5247 | OH |
NPI | 1013139344 |
---|---|
Provider Name | Catherine G. Benfield |
First Address | Greenwood, SC 29646-3860 |
Second Address | Greenwood, SC 29646-3860 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 04/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PS0451 | (05) | SC |