Doctor Name: | MS. PATRICIA MALLERY VELTHOEN |
NPI Number: | 1023134764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | LCS22622 |
Business Practice Address: | 200 S Wells Rd # 200 Ventura, CA - 930041377 |
Business Phone Number: | 8056591740 |
Business Fax Number: | 8056599959 |
Mailing Address: | 200 S Wells Rd # 200, VENTURA |
State: | CA |
Postal Code: | 930041377 |
Phone Number: | 8056591740 |
Fax Number: | 8056599959 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 08/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS22622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |