Provider Demographics
NPI:1366677924
Name:VANVEELEN, CRISTIANA MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CRISTIANA
Middle Name:MARIE
Last Name:VANVEELEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CRISTIANA
Other - Middle Name:MARIE
Other - Last Name:KLUNDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:7461 E TANQUE VERDE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3477
Mailing Address - Country:US
Mailing Address - Phone:520-352-9955
Mailing Address - Fax:520-322-3665
Practice Address - Street 1:2650 N WYATT DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6106
Practice Address - Country:US
Practice Address - Phone:520-320-6230
Practice Address - Fax:520-322-3665
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4023103G00000X
FLPY 7784103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist