Provider Demographics
NPI:1578798724
Name:VELDMAN, BRANDON (LPC)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:VELDMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SPINNING WHEEL RD
Mailing Address - Street 2:STE #420
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2914
Mailing Address - Country:US
Mailing Address - Phone:630-325-8252
Mailing Address - Fax:630-325-7584
Practice Address - Street 1:15 SPINNING WHEEL RD
Practice Address - Street 2:STE #420
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2914
Practice Address - Country:US
Practice Address - Phone:630-325-8252
Practice Address - Fax:630-325-7584
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178-005544101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional