Provider Demographics
NPI:1477905370
Name:HEADINGS, VERONICA
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:HEADINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 W COMMERCE ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:ALTUS
Mailing Address - State:OK
Mailing Address - Zip Code:73521-3850
Mailing Address - Country:US
Mailing Address - Phone:580-482-2809
Mailing Address - Fax:580-482-2820
Practice Address - Street 1:123 W COMMERCE ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:ALTUS
Practice Address - State:OK
Practice Address - Zip Code:73521-3850
Practice Address - Country:US
Practice Address - Phone:580-482-2809
Practice Address - Fax:580-482-2820
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator