Individual provider · Type 1 NPI
Dominique Benavidez, PhD
Intellectual & Developmental Disabilities Psychologist · Long Beach, CA
NPI number
1740309525
Active
Practice location
335 Redondo Ave
Long Beach, CA 90814
Fax (562) 434-3212
Mailing address
904 Silver Spur Rd # 297
Rolling Hills Estates, CA 90274-3800
Other practice locations
- 335 Redondo Ave, Long Beach, CA 90814-2652 · (562) 434-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 22620 (CA) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 22620 (CA) |
| Clinical Psychologist | 103TC0700X | 22620 (CA) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 22620 (CA) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | RPS2005098 (CA) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
8 other providers at this address
- Branko Radisavljevic M.d. Inc.Psychiatry Physician Long Beach, CA NPI 1982941902
- Branko S. Radisavljevic, MDPsychiatry Physician Long Beach, CA NPI 1609886571
- Callie Henningsen, AMFTMarriage & Family Therapist Long Beach, CA NPI 1972263911
- Emma Kathleen Finney, MA, APCCProfessional Counselor Long Beach, CA NPI 1427839281
- Erica Ashley Curry, LMFTMarriage & Family Therapist Long Beach, CA NPI 1770155012
- Nicole Elizabeth, AMFTMental Health Counselor Long Beach, CA NPI 1487378410
- Shane Lex Gomes, PhDClinical Psychologist Long Beach, CA NPI 1508935255
- Shayla PatronMarriage & Family Therapist Long Beach, CA NPI 1114515988
About NPI 1740309525
Dominique Benavidez, PhD's National Provider Identifier is 1740309525, issued on Mar 29, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Long Beach, CA. The record was last updated on Jun 27, 2018.