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NPI Code Detail

MEDICARE: DR. STEVEN W. VEIT PH.D.

MEDICARE: DR. STEVEN W. VEIT PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY6786CA

General Provider Information

NPI Number : 1316157688
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN W. VEIT PH.D.
Provider Business Mailing Address
First Line : PELICAN BAY STATE PRISON - MENTAL HEALTH SERVICES
Second Line : PO BOX 7000
City : CRESCENT CITY
State : CA
Zip : 95532-7000
Country : US
Telephone Number : 707-465-9106
Fax Number : 707-465-9107
Provider Business Practice Location Address
First Line : PELICAN BAY STATE PRISON MENTAL HEALTH SERVICES
Second Line : 5905 LAKE EARL DRIVE
City : CRESCENT CITY
State : CA
Zip : 95532-7000
Country : US
Telephone Number : 707-465-9106
Fax Number : 707-465-9107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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