Individual
DR. BENJAMIN DAVID JOHNIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
210 SOUTH ORANGE GROVE BOULEVARD, PASADENA, CA 91123-2211
(805) 409-7462
Mailing address
210 SOUTH ORANGE GROVE BOULEVARD, PASADENA, CA 91123-1912
(805) 409-7462
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
024445
NY
103TC0700X
Clinical Psychologist
Primary
35091
CA
Other
Enumeration date
09/02/2021
Last updated
09/03/2024
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