Individual
DR. DANIEL STEPHEN BENVENISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1450 114TH AVE SE STE 105, BELLEVUE, WA 98004-6934
(425) 455-0882
Mailing address
4096 173RD PL SE, BELLEVUE, WA 98008-5928
(425) 455-0882
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY12868
CA
103TC0700X
Clinical Psychologist
Primary
PY60196503
WA
Other
Enumeration date
03/24/2011
Last updated
06/17/2013
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