Provider Demographics
NPI:1992141642
Name:MUNDAY, VERONICA KAY (PLPC)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:KAY
Last Name:MUNDAY
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 A SOUTH LAKE STREET
Mailing Address - Street 2:
Mailing Address - City:MTN GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:65711
Mailing Address - Country:US
Mailing Address - Phone:417-234-1812
Mailing Address - Fax:417-942-5238
Practice Address - Street 1:201 A SOUTH LAKE STREET
Practice Address - Street 2:
Practice Address - City:MTN GROVE
Practice Address - State:MO
Practice Address - Zip Code:65711
Practice Address - Country:US
Practice Address - Phone:417-234-1812
Practice Address - Fax:417-942-5238
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional