Individual
DR. CAMILLE VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5954 PA-981, LATROBE, PA 15650
(740) 972-8515
Mailing address
6402 LINDSEY LN, EXPORT, PA 15632-2569
(740) 972-8515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018489
PA
103TP2701X
Group Psychotherapy Psychologist
PS018489
PA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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