Provider Demographics
NPI:1497885644
Name:DENNEY, R. JOEL (MA)
Entity Type:Individual
Prefix:MR
First Name:R.
Middle Name:JOEL
Last Name:DENNEY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 BEST AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-3202
Mailing Address - Country:US
Mailing Address - Phone:888-377-2435
Mailing Address - Fax:
Practice Address - Street 1:1036 A ST
Practice Address - Street 2:SUITE # 201
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4126
Practice Address - Country:US
Practice Address - Phone:888-377-2435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 48862106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist