Provider Demographics
NPI:1972795268
Name:GREENHOUSE, VERONICA ANGELICA MARIA
Entity type:Individual
Prefix:MISS
First Name:VERONICA
Middle Name:ANGELICA MARIA
Last Name:GREENHOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:VERONICA
Other - Middle Name:ANGELICA MARIA
Other - Last Name:DEL REAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:155 ALGIERS WAY
Mailing Address - Street 2:
Mailing Address - City:PACHECO
Mailing Address - State:CA
Mailing Address - Zip Code:94553-6301
Mailing Address - Country:US
Mailing Address - Phone:925-383-9291
Mailing Address - Fax:
Practice Address - Street 1:2311 LOVERIDGE RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5117
Practice Address - Country:US
Practice Address - Phone:925-431-2624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health