Provider Demographics
NPI:1194991166
Name:VELTMAN, BRETT (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:
Last Name:VELTMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4060 CAMPUS DR STE 120
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2205
Mailing Address - Country:US
Mailing Address - Phone:626-263-7528
Mailing Address - Fax:
Practice Address - Street 1:4060 CAMPUS DR STE 120
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2205
Practice Address - Country:US
Practice Address - Phone:626-263-7528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21684103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical