Gustavo R Benejam in Boca Raton - Clinical
Gustavo R Benejam - NPI 1053472290
Gustavo R Benejam is a Clinical in Boca Raton, Florida. Gustavo R Benejam practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gustavo R Benejam is 1053472290. The last update date is 2007-07-08.
Gustavo R Benejam's current location address is 8185 Twin Lake Dr, Boca Raton, Florida. You can contact this provider via phone number 5614830220 and fax number 5614771538. The mailing address for Gustavo R Benejam is 8185 Twin Lake Dr, Boca Raton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gustavo R Benejam |
|---|---|
| Address | 8185 Twin Lake Dr, Boca Raton, Florida |
| Phone Number | 5614830220 |
| Fax Number | 5614771538 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1053472290 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8185 Twin Lake Dr |
|---|---|
| City | Boca Raton |
| State | Florida (FL) |
| Post Code | 334961919 |
| Phone Number | 5614830220 |
| Fax Number | 5614771538 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY7387 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Gustavo R Benejam's unique identification number?
The Gustavo R Benejam has been assigned the NPI (National Provider Identifier) Number 1053472290 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Gustavo R Benejam?
The Gustavo R Benejam is physically situated at 8185 Twin Lake Dr, in the city of Boca Raton, state of FL, with the postal code 334961919.
What is Gustavo R Benejam's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gustavo R Benejam's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1053472290 assigned to Gustavo R Benejam?
The Gustavo R Benejam was issued its 1053472290 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gustavo R Benejam most recently updated?
The details pertaining to the Gustavo R Benejam, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.