Provider Demographics
NPI:1508364753
Name:LOONEY, VERONICA A (MS SLP)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:A
Last Name:LOONEY
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 MULBERRY DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-6422
Mailing Address - Country:US
Mailing Address - Phone:512-289-5976
Mailing Address - Fax:
Practice Address - Street 1:406 MULBERRY DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-6422
Practice Address - Country:US
Practice Address - Phone:512-289-5976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist