Provider Demographics
NPI:1073652939
Name:MCVEIGH, WALTER
Entity Type:Individual
Prefix:
First Name:WALTER
Middle Name:
Last Name:MCVEIGH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:656 LYTTON AVE
Mailing Address - Street 2:APT. C-235
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-1352
Mailing Address - Country:US
Mailing Address - Phone:650-325-3429
Mailing Address - Fax:
Practice Address - Street 1:1700 W HILLSDALE BLVD
Practice Address - Street 2:BLDG15, RM 127
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-3757
Practice Address - Country:US
Practice Address - Phone:650-574-6487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor