Dominique Benavidez in Long Beach - Clinical
Dominique Benavidez - NPI 1740309525
Dominique Benavidez is a Clinical in Long Beach, California. Dominique Benavidez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dominique Benavidez is 1740309525. The last update date is 2018-06-27.
Dominique Benavidez's current location address is 335 Redondo Ave, Long Beach, California. You can contact this provider via phone number 5624343030 and fax number 5624343212. The mailing address for Dominique Benavidez is 335 Redondo Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominique Benavidez |
|---|---|
| Address | 335 Redondo Ave, Long Beach, California |
| Phone Number | 5624343030 |
| Fax Number | 5624343212 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1740309525 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2018-06-27 |
Provider Mailing Address Detail
| Address | 335 Redondo Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 90814 |
| Phone Number | 5624343030 |
| Fax Number | 5624343212 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 22620 |
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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 unique identifier code issued to Dominique Benavidez by the Centers for Medicare & Medicaid Services (CMS)?
The Dominique Benavidez has been assigned the NPI (National Provider Identifier) 1740309525. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Dominique Benavidez is located?
The Dominique Benavidez is situated at the following address: 335 Redondo Ave, Long Beach, CA, 90814.
What is Dominique Benavidez's area of expertise and its corresponding taxonomy classification?
The Dominique Benavidez's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740309525 to Dominique Benavidez?
The Centers for Medicare & Medicaid Services originally issued the 1740309525 to Dominique Benavidez on 2007-03-29.
As of what date were the Dominique Benavidez's details last updated?
The information pertaining to the Dominique Benavidez, including its address, specialty, and other details, was most recently updated on 2018-06-27.
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