Provider Demographics
NPI:1588143713
Name:BENDGEN, WILLIAM ADEN III (MA,NCC,LPC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ADEN
Last Name:BENDGEN
Suffix:III
Gender:M
Credentials:MA,NCC,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 POMPANO LN
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-4053
Mailing Address - Country:US
Mailing Address - Phone:412-414-8853
Mailing Address - Fax:
Practice Address - Street 1:470 N 4TH STREET
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701
Practice Address - Country:US
Practice Address - Phone:412-414-8853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010498101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional