DR. DANIEL J VENEZIA PHD
Clinical Neuropsychologist
Carmel, Indiana
Provider NPI: 1487646121
Provider Information:DR. DANIEL J VENEZIA PHD
Gender: M
Not Sole Proprietor
Practice Location:
5727 OPUS DR CARMEL, IN 46033 US
Tel: 317-846-9297 Fax: --
Business Mailing Address:
5727 OPUS DR CARMEL, IN 46033 US
Tel: 317-846-9297 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | IN | 20010490A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100377010 | IN | 05 | |
MEDICARE RAILROAD | 680008237 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin