Individual
MATTHEW THOMAS HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY17421
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY17421
CA
103TC0700X
Clinical Psychologist
PSY17421
CA
103TC1900X
Counseling Psychologist
PSY17421
CA
103TF0200X
Forensic Psychologist
PSY17421
CA
103TP2701X
Group Psychotherapy Psychologist
Primary
PSY17421
CA
Other
Enumeration date
05/16/2006
Last updated
07/13/2026
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