Healthcare Provider Details

I. General information

NPI: 1821147984
Provider Name (Legal Business Name): VALLEY SPECIAL NEEDS PROGRAMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 N CHURCH ST
MT PLEASANT PA
15666-1004
US

IV. Provider business mailing address

531 N CHURCH ST PO BOX 838
MT PLEASANT PA
15666-1004
US

V. Phone/Fax

Practice location:
  • Phone: 724-547-0980
  • Fax: 724-547-4870
Mailing address:
  • Phone: 724-547-0980
  • Fax: 724-547-4870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. LOTTIE DEL SIGNORE
Title or Position: DIRECTOR OF FINANCIAL OPERATIONS
Credential:
Phone: 724-547-0980