Provider Demographics
NPI:1245475029
Name:VELDHUIZEN, NATALIE L (MS, LMFT)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:L
Last Name:VELDHUIZEN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3291 KELLY LN
Mailing Address - Street 2:
Mailing Address - City:EDDYVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52553-9702
Mailing Address - Country:US
Mailing Address - Phone:641-629-0262
Mailing Address - Fax:
Practice Address - Street 1:3291 KELLY LN
Practice Address - Street 2:
Practice Address - City:EDDYVILLE
Practice Address - State:IA
Practice Address - Zip Code:52553-9702
Practice Address - Country:US
Practice Address - Phone:641-629-0262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000310106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist