Doctor Name: | DR. DENISE VERONES |
NPI Number: | 1023198546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PY4273 |
Business Practice Address: | 2 Pine Lakes Pkwy N Suite 6 Palm Coast, FL - 321373643 |
Business Phone Number: | 3864474145 |
Business Fax Number: | 3864472827 |
Mailing Address: | 2 Pine Lakes Pkwy N, Suite 6 PALM COAST |
State: | FL |
Postal Code: | 321373643 |
Phone Number: | 3864474145 |
Fax Number: | 3864472827 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 08/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY4273 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |