Provider Demographics
NPI:1669667267
Name:DOONAN, RONDA L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RONDA
Middle Name:L
Last Name:DOONAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 MAPLE CT STE 130
Mailing Address - Street 2:SUITE 135
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-9121
Mailing Address - Country:US
Mailing Address - Phone:626-793-9842
Mailing Address - Fax:
Practice Address - Street 1:260 MAPLE CT STE 130
Practice Address - Street 2:SUITE 135
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-9121
Practice Address - Country:US
Practice Address - Phone:626-793-9842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20944103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical