Healthcare Provider Details

I. General information

NPI: 1982706487
Provider Name (Legal Business Name): VERONICA KAY NEEDLER L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5610 CRAWFORDSVILLE RD SUITE 602
INDIANAPOLIS IN
46224-3727
US

IV. Provider business mailing address

5610 CRAWFORDSVILLE RD SUITE 602
INDIANAPOLIS IN
46224-3727
US

V. Phone/Fax

Practice location:
  • Phone: 317-247-1060
  • Fax: 317-247-7960
Mailing address:
  • Phone: 317-247-1060
  • Fax: 317-247-7960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34000409A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: