Provider Demographics
NPI:1043926041
Name:HADDAD, VERONICA RAHAL
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:RAHAL
Last Name:HADDAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:V.
Other - Middle Name:
Other - Last Name:HADDAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:14355 HUSTON ST APT 230
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-1880
Mailing Address - Country:US
Mailing Address - Phone:413-230-7473
Mailing Address - Fax:
Practice Address - Street 1:5000 N. PARKWAY
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-9130
Practice Address - Country:US
Practice Address - Phone:747-777-3818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health