Healthcare Provider Details

I. General information

NPI: 1912828534
Provider Name (Legal Business Name): CARLO O.C. VELTRI PHD, LP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NICOLLET MALL STE 1946
MINNEAPOLIS MN
55402-2707
US

IV. Provider business mailing address

1520 SAINT OLAF AVE
NORTHFIELD MN
55057-1574
US

V. Phone/Fax

Practice location:
  • Phone: 651-243-0619
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP5876
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: