Provider Demographics
NPI:1619557097
Name:ORELLANA, VERONICA PATRICIA
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:PATRICIA
Last Name:ORELLANA
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 1:2 WOLSKI DR APT B
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-2536
Mailing Address - Country:US
Mailing Address - Phone:908-906-2556
Mailing Address - Fax:
Practice Address - Street 1:2 WOLSKI DR APT B
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-2536
Practice Address - Country:US
Practice Address - Phone:908-906-2556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-10
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst