Provider Demographics
NPI:1891951505
Name:VELLA, MERCEDES P (MA)
Entity Type:Individual
Prefix:MRS
First Name:MERCEDES
Middle Name:P
Last Name:VELLA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-1551
Mailing Address - Country:US
Mailing Address - Phone:520-225-2400
Mailing Address - Fax:
Practice Address - Street 1:101 W 25TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-1551
Practice Address - Country:US
Practice Address - Phone:520-225-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool