Provider Demographics
NPI:1750116349
Name:ACEVEDO, VERONICA (PSY D)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BAIROA GOLDEN GATE 1 CALLE C F-13
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1136
Mailing Address - Country:US
Mailing Address - Phone:787-385-7544
Mailing Address - Fax:
Practice Address - Street 1:VILLA DEL REY 1 CARRETERA #1 C-8
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-385-7544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7767103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical