NPI Code Details Logo

NPI 1003855024

NPI 1003855024 : DALE J. VEITH PSYD : KILLEEN, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003855024
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DALE J. VEITH PSYD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/05/2006
-----------------------------------------------------
    Last Update Date     |    04/07/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3800 S W S YOUNG DR STE 407 
-----------------------------------------------------
    City                 |    KILLEEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76542-3374
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    254-252-3747
-----------------------------------------------------
    Fax                  |    254-549-0086
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3800 S W S YOUNG DR STE 407 
-----------------------------------------------------
    City                 |    KILLEEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76542-3374
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    254-252-3748
-----------------------------------------------------
    Fax                  |    254-549-0086
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    1292
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TR0400X
-----------------------------------------------------
    Taxonomy Name        |    Rehabilitation Psychologist
-----------------------------------------------------
    License Number       |    1292
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    38739
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.