Provider Demographics
NPI:1730421009
Name:SOCOLAR, VERENA (PHD, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:VERENA
Middle Name:
Last Name:SOCOLAR
Suffix:
Gender:F
Credentials:PHD, PMHNP-BC
Other - Prefix:
Other - First Name:VERENA
Other - Middle Name:
Other - Last Name:KNOWLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, PMHNP-BC
Mailing Address - Street 1:150 PROVIDENCE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2208
Mailing Address - Country:US
Mailing Address - Phone:919-998-9177
Mailing Address - Fax:919-930-8430
Practice Address - Street 1:150 PROVIDENCE RD STE 201
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-998-9177
Practice Address - Fax:919-930-8430
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005679363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health