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KENNETH S. BENAU PH.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1336353689
Individual Registrant: KENNETH S. BENAU PH.D.
Gender: M
Sole Proprietor
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
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
Tel: 510-763-8501 Fax: 510-763-8501
Registration Information:
NPI: 1336353689
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | CA | PSY11684 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
