Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 1292 | OR |
N | 103TC0700X | Clinical Psychologist | 1292 | OR |
Y | 103G00000X | Clinical Psychologist | 38739 | TX |
Y | 103TC0700X | Clinical Psychologist | 38739 | TX |
N | 103TR0400X | Rehabilitation Psychologist | 1292 | OR |
NPI | 1003855024 |
---|---|
Provider Name | Dr. Dale J. Veith |
First Address | Killeen, TX 76542-3374 |
Second Address | Killeen, TX 76542-3374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 07/04/2021 |