DR. DIANE MARIE BENEVENTI


Address: 6414 Live Oaks Dr, Carlsbad, CA 92009-3082
Phone: 7604382804

DR. DIANE MARIE BENEVENTI (NPI# 1487769980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487769980
Entity Type Individual
Full Name DR. DIANE MARIE BENEVENTI
Other Name DIANE MARIE RUSH
Credential PH.D
Practice Address 6414 Live Oaks Dr
Carlsbad
CA 92009-3082
Practice Telephone 7604382804
Mailing Telephone 7604382804
Enumeration Date 2006-08-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY16466 CA Behavioral Health & Social Service Providers

Office Location

Street Address 6414 LIVE OAKS DR
City CARLSBAD
State CA
Zip Code 92009-3082

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City CARLSBAD
Zip Code 92009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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