Provider Demographics
NPI:1164506309
Name:DUMAS, VERONICA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:
Last Name:DUMAS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1666 79TH STREET CSWY
Mailing Address - Street 2:SUITE 211
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4169
Mailing Address - Country:US
Mailing Address - Phone:305-867-6855
Mailing Address - Fax:
Practice Address - Street 1:1666 79TH STREET CSWY
Practice Address - Street 2:SUITE 211
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4169
Practice Address - Country:US
Practice Address - Phone:305-867-6855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6888103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical