Individual
DR. JOSEPH RICHARD VENEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
218 W WASHINGTON ST STE 430, SOUTH BEND, IN 46601-1899
(574) 968-4078
(574) 968-7252
Mailing address
218 W. WASHINGTON ST, STE. 430, SOUTH BEND, IN 46601
(574) 968-4078
(574) 968-7252
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043011A
IN
103TC0700X
Clinical Psychologist
PSY3770
CA
103TF0000X
Family Psychologist
20043011A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY3770
CALIFORNIA BOARD OF PSYCHOLOGY
CA
Enumeration date
08/10/2005
Last updated
07/21/2022
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