Healthcare Provider Details

I. General information

NPI: 1467024190
Provider Name (Legal Business Name): VERONICA DEGLMAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12516 40TH ST
PRINCETON MN
55371-6224
US

IV. Provider business mailing address

12516 40TH ST
PRINCETON MN
55371-6224
US

V. Phone/Fax

Practice location:
  • Phone: 320-703-8805
  • Fax:
Mailing address:
  • Phone: 320-703-8805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4766
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: