Doctor Name: | CHRIS A VEACH |
NPI Number: | 1174530604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW012581 |
Business Practice Address: | 1111 East End Boulevard Wilkes-barre Va Medical Center Wilkes-barre, PA - 18711 |
Business Phone Number: | 5708243521 |
Business Fax Number: | |
Mailing Address: | 63 Circle View Dr, ELYSBURG |
State: | PA |
Postal Code: | 178249414 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW012581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |