| Doctor Name: | MS. MARY VALIANT SHULL |
| NPI Number: | 1972833044 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED, NCC, LPC |
| License Number: | LPC000374 |
| Business Practice Address: | 6960 Groveland Rd Pipersville, PA - 189471541 |
| Business Phone Number: | 2152978361 |
| Business Fax Number: | 2152978361 |
| Mailing Address: | 6960 Groveland Rd, PIPERSVILLE |
| State: | PA |
| Postal Code: | 189471541 |
| Phone Number: | 2152978361 |
| Fax Number: | 2152978361 |
| NPI Enumeration Date: | 01/12/2010 |
| NPI Last Update Date: | 01/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC000374 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |