Doctor Name: | MELISSA B VALDEZ |
NPI Number: | 1013134063 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 379340-6004 |
Business Practice Address: | 237 26th St Ogden, UT - 844013105 |
Business Phone Number: | 8016253648 |
Business Fax Number: | |
Mailing Address: | 284 W 1825 N, OGDEN |
State: | UT |
Postal Code: | 844147320 |
Phone Number: | 8019415996 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 379340-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |