Individual
DR. GUSTAVO R BENEJAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7301 W PALMETTO PARK RD STE 204A, BOCA RATON, FL 33433-3456
(561) 368-9940
(561) 368-3255
Mailing address
8185 TWIN LAKE DR, BOCA RATON, FL 33496-1919
(561) 483-0220
(561) 477-1538
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7387
FL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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