| Doctor Name: | DR. HENDRIK J VENTER |
| NPI Number: | 1457531709 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D |
| License Number: | PSY 18428 |
| Business Practice Address: | 688 Beachport Dr Port Hueneme, CA - 930413068 |
| Business Phone Number: | 5599303812 |
| Business Fax Number: | 5599175935 |
| Mailing Address: | 688 Beachport Dr, PORT HUENEME |
| State: | CA |
| Postal Code: | 930413068 |
| Phone Number: | 5599303812 |
| Fax Number: | 5599175935 |
| NPI Enumeration Date: | 11/04/2007 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 18428 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |