Provider Demographics
NPI:1952562175
Name:VEERAMASUNENI, YOJANA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:YOJANA
Middle Name:
Last Name:VEERAMASUNENI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 MINERS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-9625
Mailing Address - Country:US
Mailing Address - Phone:269-408-1688
Mailing Address - Fax:269-408-1692
Practice Address - Street 1:1030 MINERS ROAD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085
Practice Address - Country:US
Practice Address - Phone:269-408-1688
Practice Address - Fax:269-408-1692
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071009028103TC0700X
MI68010923521041C0700X
MI6301014653103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical