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General NPI Number Information
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NPI Number | 1073652939
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Entity Type | Individual
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Provider Name | WALTER MCVEIGH
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1700 W HILLSDALE BLVD BLDG15, RM 127
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City | SAN MATEO
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State | CA
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Zip | 94402-3757
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Country | US
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Telephone | 650-574-6487
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Fax |
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Provider Business Mailing Address
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Address Line | 656 LYTTON AVE APT. C-235
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City | PALO ALTO
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State | CA
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Zip | 94301-1352
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Country | US
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Telephone | 650-325-3429
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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