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NPI Code Detail

MEDICARE: PROF. KATHLEEN DEMERY VALVERDE MS, CGC

MEDICARE: PROF. KATHLEEN DEMERY VALVERDE MS, CGC
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1831188713
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. KATHLEEN DEMERY VALVERDE MS, CGC
Provider Business Mailing Address
First Line : 1010 ROBIN DR
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-7620
Country : US
Telephone Number : 610-455-0287
Fax Number : 215-881-8758
Provider Business Practice Location Address
First Line : 450 S EASTON RD
Second Line :
City : GLENSIDE
State : PA
Zip : 19038-3215
Country : US
Telephone Number : 215-572-4058
Fax Number : 215-881-8758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 07/08/2007

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