Provider Demographics
NPI:1205843158
Name:BHALLA, VEENA (CSW)
Entity Type:Individual
Prefix:MRS
First Name:VEENA
Middle Name:
Last Name:BHALLA
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:MRS
Other - First Name:VEENA
Other - Middle Name:
Other - Last Name:THAPAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:36000 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER
Mailing Address - Street 2:CARL R. DARNALL ARMY MEDICAL CENTER
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:52ND & 761ST TANK BATTALION RD
Practice Address - Street 2:BUILDING 2255 DEPARTMENT OF SOCIAL WORK
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-288-6474
Practice Address - Fax:254-288-3281
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010668711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical