Provider Demographics
NPI:1568703734
Name:VENUTI, RI (PHD)
Entity Type:Individual
Prefix:DR
First Name:RI
Middle Name:
Last Name:VENUTI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27388 SUGAR BUSH WAY
Mailing Address - Street 2:
Mailing Address - City:VALLEY CENTER
Mailing Address - State:CA
Mailing Address - Zip Code:92082-7742
Mailing Address - Country:US
Mailing Address - Phone:760-751-8929
Mailing Address - Fax:
Practice Address - Street 1:1301 SIMPSON WAY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-1305
Practice Address - Country:US
Practice Address - Phone:760-737-7925
Practice Address - Fax:760-737-8832
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16720103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical