Provider Demographics
NPI:1659583102
Name:VEENA KAPUR, PH. D., P. A.
Entity Type:Organization
Organization Name:VEENA KAPUR, PH. D., P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPUR
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:301-951-9612
Mailing Address - Street 1:4615 MORGAN DR
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5314
Mailing Address - Country:US
Mailing Address - Phone:301-951-9612
Mailing Address - Fax:
Practice Address - Street 1:4615 MORGAN DR
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5314
Practice Address - Country:US
Practice Address - Phone:301-951-9612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00755103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty