BENJAMIN P DETTER BS - NPI 1255082616

Q: What is Benjamin Detter's NPI number?

The NPI number for Benjamin Detter is 1255082616. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Q: What is Benjamin Detter's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Detter was last updated on January 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Benjamin P Detter Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN P DETTER BS (NPI 1255082616) is an individual counselor in Erie, Pennsylvania and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1255082616

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameBENJAMIN P DETTERCredential: BS

Location Address4906 RICHMOND STErie, PA 16509-1978

Mailing Address202 Plum St Apt 2Erie, PA 16507-2640 · (814) 490-8764

Phone(814) 864-4226

Sole ProprietorNo

Enumeration DateJanuary 17, 2022

NPPES CertifiedJanuary 17, 2022

✔ NPI 1255082616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4906 RICHMOND ST, Erie, PA 16509

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LOIS ANNETTE CARRIG LPC

Counselor (Mental Health)