Individual
DR. GUSTAVO ALBERTO BENEJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2730 SW 3RD AVE STE 305, MIAMI, FL 33129-2323
(561) 350-7761
Mailing address
921 NE 16TH ST APT 6, FORT LAUDERDALE, FL 33304-4812
(561) 350-7761
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11658
FL
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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