Individual
MATTHEW W. HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4135 S POWER RD STE 103, MESA, AZ 85212-3625
(480) 397-2800
Mailing address
4135 S POWER RD STE 103, MESA, AZ 85212-3625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35452
CA
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
02/23/2024
Last updated
10/30/2024
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