Provider Demographics
NPI:1902324908
Name:CHANG, VERONICA FAITH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:FAITH
Last Name:CHANG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:FAITH
Other - Last Name:KREHBIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8607 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4324
Mailing Address - Country:US
Mailing Address - Phone:301-562-8448
Mailing Address - Fax:
Practice Address - Street 1:8607 CEDAR ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4324
Practice Address - Country:US
Practice Address - Phone:301-562-8448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05877103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical