Provider Demographics
NPI:1760932982
Name:VERONESI, MATTHEW (MS, LPC)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:VERONESI
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 DAVID DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2731
Mailing Address - Country:US
Mailing Address - Phone:814-227-4215
Mailing Address - Fax:
Practice Address - Street 1:114 DAVID DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2731
Practice Address - Country:US
Practice Address - Phone:814-227-4215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-12
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017186101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor