MEDICARE: VERO PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1295629723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERO PLLC

Provider Business Mailing Address
First Line	:	63 W CHICAGO ST APT 206
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-1685
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	89 W CHICAGO ST STE 1A
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-1682
Country	:	US
Telephone Number	:	517-500-7989
Fax Number	:	517-235-5748

Authorized Official
Title or Position	:	LIMITED LICENSED PSYCHOLOGIST
Name	:	CALEB TALBOT
Credential	:	MA, LLP
Telephone Number	:	517-500-7989

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	05/20/2026

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Directions to “VERO PLLC ” Practice Location

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