Individual
BENJAMIN TABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PHD
Contact information
Practice address
260 NEWPORT CENTER DR, NEWPORT BEACH, CA 92660-7520
(949) 232-0460
Mailing address
260 NEWPORT CENTER DR STE 100, NEWPORT BEACH, CA 92660-7522
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY35798
CA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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