Provider Demographics
NPI:1477099109
Name:STELLER, VERONICA ANNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:ANNE
Last Name:STELLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:VERONICA
Other - Middle Name:ANNE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1250 TAMIAMI TRL N STE 306
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5267
Mailing Address - Country:US
Mailing Address - Phone:239-272-2422
Mailing Address - Fax:
Practice Address - Street 1:1250 TAMIAMI TRL N STE 306
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5267
Practice Address - Country:US
Practice Address - Phone:239-272-2422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11570103TH0004X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth