Provider Demographics
NPI:1699199133
Name:VEAUTHIER, ALICIA (EDS,NCSP)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:VEAUTHIER
Suffix:
Gender:F
Credentials:EDS,NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 STOW. AVE.
Mailing Address - Street 2:CUYAHOGA FALLS CITY SCHOOLS
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:431 STOW. AVE.
Practice Address - Street 2:CUYAHOGA FALLS CITY SCHOOLS
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221
Practice Address - Country:US
Practice Address - Phone:330-926-3808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHUA1006937103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool