DOMINIQUE BENAVIDEZ

LONG BEACH, CA
NPI1740309525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TM1800X Psychologist Mental Retardation & Developmental Disabilities
(Licence: CA  RPS2005098)
Additional Taxonomies103TA0700X Psychologist Adult Development & Aging
(Licence: CA  22620)
103TB0200X Psychologist Cognitive & Behavioral
(Licence: CA  22620)
103TC0700X Psychologist Clinical
(Licence: CA  22620)
103TC2200X Psychologist Clinical Child & Adolescent
(Licence: CA  22620)
Enumeration Date2007-03-29
Last Update Date2018-06-27
Business Address
DR. DOMINIQUE BENAVIDEZ PH.D.
335 REDONDO AVE
LONG BEACH, CA 90814
Phone number: 562-434-3030
Mailing Address
DR. DOMINIQUE BENAVIDEZ PH.D.
904 SILVER SPUR RD # 297
ROLLING HILLS ESTATES, CA 90274-3800
Phone number: 310-373-0800