Doctor Name: | VERONIQUE P MEAD |
NPI Number: | 1003091224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | NLC-7607 |
Business Practice Address: | 4439 Driftwood Pl Boulder, CO - 803013170 |
Business Phone Number: | 3035810411 |
Business Fax Number: | |
Mailing Address: | 4439 Driftwood Pl, BOULDER |
State: | CO |
Postal Code: | 803013170 |
Phone Number: | 3035810411 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2008 |
NPI Last Update Date: | 01/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | NLC-7607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |