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Individual
DR. JONATHAN VENN
Active
Individual
DR. JONATHAN VENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
22538
CA
103TC0700X
Clinical Psychologist
Primary
22538
CA
103TF0000X
Family Psychologist
22538
CA
103TF0200X
Forensic Psychologist
22538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0063
—
SC
Enumeration date
12/01/2006
Last updated
03/25/2009
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