Individual
DR. DAVID MICHAEL VENTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 803-7170
Mailing address
12008 N 22ND PL, PHOENIX, AZ 85028-1008
(623) 238-2844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-005156
AZ
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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