Provider Demographics
NPI:1750721379
Name:VELAZQUEZ, ROSALINDA
Entity type:Individual
Prefix:MRS
First Name:ROSALINDA
Middle Name:
Last Name:VELAZQUEZ
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:PO BOX 21456
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93034-1456
Mailing Address - Country:US
Mailing Address - Phone:805-603-3310
Mailing Address - Fax:
Practice Address - Street 1:1405 WHITE LN APT 73
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93307-4674
Practice Address - Country:US
Practice Address - Phone:805-603-3310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health