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NPI Code Detail

MEDICARE: DIANNE BENVENISTE GOLDEN LCSW

MEDICARE: DIANNE BENVENISTE GOLDEN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW16640CA

General Provider Information

NPI Number : 1457387516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNE BENVENISTE GOLDEN LCSW
Provider Business Mailing Address
First Line : 2550 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2550 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3406
Country : US
Telephone Number : 626-463-1021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 01/06/2022

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