Doctor Name: | DR. VERONIQUE REGINA DEUTSCH-ANZALONE |
NPI Number: | 1124338017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 019480 |
Business Practice Address: | 35 Longwood Road Just Kids Middle Island, NY - 119532045 |
Business Phone Number: | 6319240008 |
Business Fax Number: | |
Mailing Address: | Po Box 12, Just Kids MIDDLE ISLAND |
State: | NY |
Postal Code: | 119530012 |
Phone Number: | 6319240008 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2010 |
NPI Last Update Date: | 03/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 019480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |