Individual
MATTHEW THOMAS HENNESSY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
10333 EL CAMINO REAL, ATASCADERO, CA 93423-7001
(805) 468-2000
(805) 466-6011
Mailing address
1600 9TH ST, ROOM 205 MAILSTOP 2-3, SACRAMENTO, CA 95814-6414
(916) 654-2431
(916) 654-3186
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
09/11/2025
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