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Organization
ROBERT BENAVIDES JR.
Active
Organization
ROBERT BENAVIDES JR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BENAVIDES JR. ED.D. (OWNER)
(707) 542-2081
Entity
Organization
Contact information
Practice address
2455 BENNETT VALLEY RD, #210 C, SANTA ROSA, CA 95404-5663
(707) 542-2081
Mailing address
2455 BENNETT VALLEY RD, #210 C, SANTA ROSA, CA 95404-5663
(707) 542-2081
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11363
CA
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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