| Doctor Name: | SUSAN CHRISTINE VALESSARES |
| NPI Number: | 1114040227 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 071-006810 |
| Business Practice Address: | 3 Squire Ln St Charles, IL - 601741413 |
| Business Phone Number: | 6308817601 |
| Business Fax Number: | 6305136839 |
| Mailing Address: | 3 Squire Ln, ST CHARLES |
| State: | IL |
| Postal Code: | 601741413 |
| Phone Number: | 6308817601 |
| Fax Number: | 6305136839 |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 07/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0700X |
| License Number: | 071-006810 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Adult Development & Aging |
| Taxonomy Definition: | |