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Organization
JOANNA R BENAVIDEZ PHD CLINICAL PSYCHOLOGIST
Active
Organization
JOANNA R BENAVIDEZ PHD CLINICAL PSYCHOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA ROSE BENAVIDEZ PHD (OWNER)
(760) 694-0327
Entity
Organization
Contact information
Practice address
2831 CAMINO DEL RIO S STE 103, SAN DIEGO, CA 92108-3827
(760) 694-0327
Mailing address
2831 CAMINO DEL RIO S STE 103, SAN DIEGO, CA 92108-3827
(760) 694-0327
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/01/2020
Last updated
09/16/2023
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