| Doctor Name: | MS. MARIE BRIDGET VALLELY |
| NPI Number: | 1942395843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNCS,LMFT, CASAC |
| License Number: | 189102 |
| Business Practice Address: | 113 Seaside Ave Dennis, MA - 02638 |
| Business Phone Number: | 5083859376 |
| Business Fax Number: | |
| Mailing Address: | 113 Seaside Ave, Po Box 1000 DENNIS |
| State: | MA |
| Postal Code: | 02638 |
| Phone Number: | 5083859376 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0810X |
| License Number: | 189102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Family |
| Taxonomy Definition: | |