Provider Demographics
NPI:1750752994
Name:NIELSEN-VILAR, VERONICA
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:NIELSEN-VILAR
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 1:52 PIERCE ST
Mailing Address - Street 2:#1
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-2932
Mailing Address - Country:US
Mailing Address - Phone:617-943-7718
Mailing Address - Fax:
Practice Address - Street 1:52 PIERCE ST
Practice Address - Street 2:#1
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2932
Practice Address - Country:US
Practice Address - Phone:617-943-7718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor