DR. DOMINIQUE BENAVIDEZ, PH.D.
Psychologist - Intellectual & Developmental Disabilities
Active
Individual
NPI: 1740309525
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Adult Development & Aging | 103TA0700X | No | 22620 (CA) |
| Psychologist - Cognitive & Behavioral | 103TB0200X | No | 22620 (CA) |
| Psychologist - Clinical | 103TC0700X | No | 22620 (CA) |
| Psychologist - Clinical Child & Adolescent | 103TC2200X | No | 22620 (CA) |
| Psychologist - Intellectual & Developmental Disabilities | 103TM1800X | Yes | RPS2005098 (CA) |
Frequently Asked Questions
NPI 1740309525 is the National Provider Identifier for DR. DOMINIQUE BENAVIDEZ, PH.D., a Psychologist - Intellectual & Developmental Disabilities provider located in Long Beach, CA. This NPI was enumerated on March 29, 2007.
DR. DOMINIQUE BENAVIDEZ, PH.D. practices at 335 REDONDO AVE, Long Beach, CA 90814.
Quick Facts
- NPI
- 1740309525
- Type
- Individual
- Enumerated
- Mar 29, 2007
- Last Updated
- Jun 27, 2018
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