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Organization

DANIEL BENVENISTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL STEPHEN BENVENISTE PH.D. (CLINICAL PSYCHOLOGIST)
(425) 455-0882
Entity
Organization

Contact information

Practice address
1450 114TH AVE SE STE 105, BELLEVUE, WA 98004-6934
(425) 455-0882
Mailing address
1450 114TH AVE SE STE 105, BELLEVUE, WA 98004-6934
(425) 455-0882

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
06/20/2013
Last updated
06/20/2013
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