Provider Demographics
NPI:1073705521
Name:MATTHEWS, VERONICA J (MD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:J
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:66 TIMBEROAK CT
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3459
Mailing Address - Country:US
Mailing Address - Phone:434-989-5414
Mailing Address - Fax:434-979-5220
Practice Address - Street 1:66 TIMBEROAK CT
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3459
Practice Address - Country:US
Practice Address - Phone:434-237-6236
Practice Address - Fax:434-237-9951
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012405872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004900324Medicaid
VA016070M94Medicare PIN