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DR. JOHN ANTHONY BENJAMIN PH.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1497763502

Individual Registrant:
DR. JOHN ANTHONY BENJAMIN PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
NAVAL HOSPITAL, CAMP PENDLETON MENTAL HEALTH CLINIC CAMP PENDLETON, CA, CA 92055-5191 US
Tel: 760-725-1555  Fax: --

Contact information for business:
3529 CANNON RD SUITE 2-B, #624 OCEANSIDE, CA 92056-4980 US
Tel: 951-315-5538  Fax: --

Registration Information:
NPI: 1497763502
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY 06019

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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