Healthcare Provider Details

I. General information

NPI: 1508127622
Provider Name (Legal Business Name): VALERIE GERRITS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALERIE BERTSCH

II. Dates (important events)

Enumeration Date: 06/05/2012
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 COOPER POINT RD SW STE A1
OLYMPIA WA
98502-1109
US

IV. Provider business mailing address

4510 INTELCO LOOP SE STE B
LACEY WA
98503-6005
US

V. Phone/Fax

Practice location:
  • Phone: 360-670-0003
  • Fax:
Mailing address:
  • Phone: 360-786-1753
  • Fax: 360-786-1793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberLL 60199950
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: