Provider Demographics
NPI:1992094650
Name:LIGHTHOUSE PSYCHIATRY,PC
Entity type:Organization
Organization Name:LIGHTHOUSE PSYCHIATRY,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:BENZIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-340-2686
Mailing Address - Street 1:108 RIDGEVIEW LN
Mailing Address - Street 2:SUITE 302
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2000
Mailing Address - Country:US
Mailing Address - Phone:215-340-2686
Mailing Address - Fax:215-340-4858
Practice Address - Street 1:800 W STATE ST
Practice Address - Street 2:SUITE 302
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2250
Practice Address - Country:US
Practice Address - Phone:215-340-2686
Practice Address - Fax:215-340-4858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty