Provider Demographics
NPI:1316157688
Name:VEIT, STEVEN W (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:VEIT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PELICAN BAY STATE PRISON - MENTAL HEALTH SERVICES
Mailing Address - Street 2:PO BOX 7000
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95532-7000
Mailing Address - Country:US
Mailing Address - Phone:707-465-9106
Mailing Address - Fax:707-465-9107
Practice Address - Street 1:PELICAN BAY STATE PRISON MENTAL HEALTH SERVICES
Practice Address - Street 2:5905 LAKE EARL DRIVE
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95532-7000
Practice Address - Country:US
Practice Address - Phone:707-465-9106
Practice Address - Fax:707-465-9107
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY6786103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical