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NPI Code Detail

MEDICARE: DR. VALERIE VROON RAYMOND PSY.D.

MEDICARE: DR. VALERIE VROON RAYMOND PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY002237GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386709673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VALERIE VROON RAYMOND PSY.D.
Provider Business Mailing Address
First Line : 1788 CENTURY BLVD NE
Second Line : SUITE A
City : ATLANTA
State : GA
Zip : 30345-3321
Country : US
Telephone Number : 404-636-2340
Fax Number : 404-636-2342
Provider Business Practice Location Address
First Line : 1788 CENTURY BLVD NE
Second Line : SUITE A
City : ATLANTA
State : GA
Zip : 30345-3321
Country : US
Telephone Number : 404-636-2340
Fax Number : 404-636-2342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 03/17/2014

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