Venn, Jonathan

Venn, Jonathan is an individual health care provider with primary practice located at 8555 Station Village Ln #3139, San Diego CA 92108-6543. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Venn, Jonathan can be contacted via phone (619) 692-3736.

Contact Information

Primary practice address
8555 Station Village Ln #3139 San Diego CA 92108-6543
Phone: (619) 692-3736
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 22538 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X 22538 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 22538 California
Behavioral Health & Social Service Providers / Family 103TF0000X 22538 California

Profile Details

NPI number 1548338940
LBN Legal business name Venn, Jonathan
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Mar 25th, 2009 - about 16 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 1548338940 NPPES
South Carolina MEDICAID PS0063

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