Dr. Dominique Benavidez
Clinical Psychologist Cognitive & Behavioral Psychologist Adult Development & Aging Psychologist Clinical Child & Adolescent Psychologist and 1 more
335 Redondo Ave
Long Beach
, California 90814
Dr. Dominique Benavidez
Clinical Psychologist Cognitive & Behavioral Psychologist Adult Development & Aging Psychologist Clinical Child & Adolescent Psychologist and 1 more
335 Redondo Ave
Long Beach
, California 90814
(310) 373-0868
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About
Features
Specialties
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Intellectual & Developmental Disabilities
Languages spoken
- English
Location
First Address
- Dr. Dominique Benavidez
- 904 Silver Spur Rd # 297
- Rolling Hills Estates, CA
- Zip : 90274-3800
- Fax : (310) 373-0868
- Phone : (310) 373-0800
Second Address
- Dr. Dominique Benavidez
- 335 Redondo Ave
- Long Beach, CA
- Zip : 90814
- Fax : (562) 434-3212
- Phone : (562) 434-3030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0700X | Adult Development & Aging Psychologist | 22620 | CA |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 22620 | CA |
| N | 103G00000X | Clinical Psychologist | 22620 | CA |
| N | 103TC0700X | Clinical Psychologist | 22620 | CA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 22620 | CA |
| Y | 103TM1800X | Intellectual & Developmental Disabilities | RPS2005098 | CA |
National Provider Identifier
| NPI | 1740309525 |
|---|---|
| Provider Name | Dr. Dominique Benavidez |
| First Address | Rolling Hills Estates, CA 90274-3800 |
| Second Address | Long Beach, CA 90814 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2007 |
| Last Update Date | 27/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.