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1972851517
MATTHEW JAMES VENTIMIGLIA
SANTA CRUZ, CA
NPI
1972851517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301014794)
Enumeration Date
2012-08-28
Last Update Date
2016-06-24
Business Address
Dr. MATTHEW JAMES VENTIMIGLIA Ph.D.
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 831-454-4887
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Mailing Address
Dr. MATTHEW JAMES VENTIMIGLIA Ph.D.
620 W HAZELHURST ST
FERNDALE, MI 48220-1887
Phone number: 586-872-3146
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