David J Ventrelle PSY.D.

NPI 1639342140 - Psychologist - 103TC0700X

NPI Details
NPI 1639342140
Gender Male
Enumeration Date 04/04/2008
Last Updated 04/28/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
1860 W WINCHESTER RD
SUITE 101
LIBERTYVILLE IL, 60048-5351, US
Phone (224) 676-2317
Fax (855) 676-3605
Business Location
1111 W LAKE COOK RD
BUFFALO GROVE IL, 60089-1926, US
Phone (224) 795-9641
Fax (847) 247-6950
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071007263
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According to our database, Dr. David J Ventrelle PSY.D. NPI is 1639342140, taxonomy code is 103TC0700X and license number is 071007263, license state is located at Illinois. David J Ventrelle PSY.D. physically located at 1860 W Winchester Rd, Libertyville IL, 60048-5351. NPI Number David J Ventrelle PSY.D. has the Individual type.

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1639342140 NPI number is provided on an as is basis without warranty of any kind. 1639342140 is maintained by the National Plan & Provider Enumeration System. The contents of David J Ventrelle PSY.D. are for informational purposes only.