MATTHEW JAMES VENTIMIGLIA

SANTA CRUZ, CA
NPI1972851517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301014794)
Enumeration Date2012-08-28
Last Update Date2016-06-24
Business Address
Dr. MATTHEW JAMES VENTIMIGLIA Ph.D.
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 831-454-4887
Mailing Address
Dr. MATTHEW JAMES VENTIMIGLIA Ph.D.
620 W HAZELHURST ST
FERNDALE, MI 48220-1887
Phone number: 586-872-3146