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KENNETH S. BENAU PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1336353689

Individual Registrant:
 KENNETH S. BENAU PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
376 COLUSA AVE STE 2  KENSINGTON, CA 94707-1213 US
Tel: 510-525-3702  Fax: 510-763-8501

Contact information for business:
1315 HOLMAN RD  OAKLAND, CA 94610-2542 US
Tel: 510-763-8501  Fax: 510-763-8501

Registration Information:
NPI: 1336353689
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY11684

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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