Venema, Joseph Richard

Venema, Joseph Richard is an sole proprietor health care provider with primary practice located at 218 W Washington St Ste 430 , South Bend IN 46601-1899. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Venema, Joseph Richard can be contacted via phone (574) 968-4078.

Contact Information

Primary practice address
218 W Washington St Ste 430 South Bend IN 46601-1899
Phone: (574) 968-4078
Fax: (574) 968-7252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY3770 California
Behavioral Health & Social Service Providers / Family 103TF0000X 20043011A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20043011A Indiana

Profile Details

NPI number 1407857592
LBN Legal business name Venema, Joseph Richard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407857592 NPPES
California Other PSY3770 CALIFORNIA BOARD OF PSYCHOLOGY

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