Benavides Jr., Robert

Benavides Jr., Robert is an individual health care provider with primary practice located at 2455 Bennett Valley Rd Suite 210 C, Santa Rosa CA 95404-5663. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Benavides Jr., Robert can be contacted via phone (707) 542-2081.

Contact Information

Primary practice address
2455 Bennett Valley Rd Suite 210 C Santa Rosa CA 95404-5663
Phone: (707) 542-2081
Fax: (707) 542-2082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 11363 California

Profile Details

NPI number 1487638714
LBN Legal business name Benavides Jr., Robert
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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