| Oscar J. Benitez, Phd Inc | |
|
1601 114th Ave Se Ste 100 Bellevue WA 98004-6904 | |
| (425) 246-6891 | |
| (425) 533-2515 |
| Full Name | Oscar J. Benitez, Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1601 114th Ave Se Ste 100, Bellevue, Washington |
| Authorized Official Name and Position | Oscar Joseph Benitez (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8172283558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oscar J. Benitez, Phd Inc 1601 114th Ave Se Ste 100 Bellevue WA 98004-6904 Ph: (425) 246-6891 | Oscar J. Benitez, Phd Inc 1601 114th Ave Se Ste 100 Bellevue WA 98004-6904 Ph: (425) 246-6891 |
| NPI Number | 1336426568 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 11/16/2011 |
| Medicare PECOS PAC ID | 1355517962 |
|---|---|
| Medicare Enrollment ID | O20120104000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336426568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY60251767 (Washington) | Primary |
| Provider Name | Oscar J Benitez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104103423 PECOS PAC ID: 2264608876 Enrollment ID: I20120104000004 |
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