Healthcare Provider Details

I. General information

NPI: 1780260125
Provider Name (Legal Business Name): VALENTINA ISLEIB MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E LANCASTER AVE STE 306
WAYNE PA
19087-3544
US

IV. Provider business mailing address

101 E LANCASTER AVE STE 306
WAYNE PA
19087-3544
US

V. Phone/Fax

Practice location:
  • Phone: 610-488-2931
  • Fax: 484-254-2312
Mailing address:
  • Phone: 610-488-2931
  • Fax: 484-254-2312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: