Provider Demographics
NPI:1356589162
Name:VELEZ, CLAUDIA MARIA
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:MARIA
Last Name:VELEZ
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 1:5361 N. PERSHING AVE.
Mailing Address - Street 2:SUITE H
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207
Mailing Address - Country:US
Mailing Address - Phone:209-477-9177
Mailing Address - Fax:
Practice Address - Street 1:5361 N. PERSHING AVENUE
Practice Address - Street 2:SUITE H
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207
Practice Address - Country:US
Practice Address - Phone:209-477-9177
Practice Address - Fax:209-477-4667
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health