Provider Demographics
NPI:1992934954
Name:BEN-DOV, ZIV (MFA, MS, NCC, LPC)
Entity type:Individual
Prefix:MR
First Name:ZIV
Middle Name:
Last Name:BEN-DOV
Suffix:
Gender:M
Credentials:MFA, MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 CLAY AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18510-1129
Mailing Address - Country:US
Mailing Address - Phone:570-498-6322
Mailing Address - Fax:570-347-1485
Practice Address - Street 1:841 CLAY AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-1129
Practice Address - Country:US
Practice Address - Phone:570-498-6322
Practice Address - Fax:570-347-1485
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional