Individual
DR. DAVID ROSS HENNERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 S WELLS RD, SUITE 250 CLINICAS DEL CAMINO REAL, VENTURA, CA 93004
(805) 659-1740
(805) 659-9959
Mailing address
352 N GLEN ELLEN DR, VENTURA, CA 93003
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
PSY 16708
CA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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