Healthcare Provider Details

I. General information

NPI: 1184312357
Provider Name (Legal Business Name): VERONICA JANE PICKARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CLEMENT ST
SAN FRANCISCO CA
94118
US

IV. Provider business mailing address

1918 UNIVERSITY AVE STE 2B
BERKELEY CA
94704-3264
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-5955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: