Ventimiglia, Matthew James

Ventimiglia, Matthew James is an sole proprietor health care provider with primary practice located at 1080 Emeline Ave , Santa Cruz CA 95060-1966. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ventimiglia, Matthew James can be contacted via phone (831) 454-4887.

Contact Information

Primary practice address
1080 Emeline Ave Santa Cruz CA 95060-1966
Phone: (831) 454-4887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301014794 Michigan

Profile Details

NPI number 1972851517
LBN Legal business name Ventimiglia, Matthew James
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2012
Last updated Jun 24th, 2016 - about 10 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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