| Doctor Name: | MRS. JACQUELINE C VALDES |
| NPI Number: | 1538385919 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PY4945 |
| Business Practice Address: | 2214 Hollywood Blvd Hollywood, FL - 330206702 |
| Business Phone Number: | 9544268840 |
| Business Fax Number: | 9544266642 |
| Mailing Address: | 406 Sw 12th Ave, DEERFIELD BEACH |
| State: | FL |
| Postal Code: | 334423108 |
| Phone Number: | 9544261169 |
| Fax Number: | 9547255814 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 04/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | PY4945 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |