Healthcare Provider Details

I. General information

NPI: 1922550961
Provider Name (Legal Business Name): DANIELLE VALDES MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2016
Last Update Date: 10/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7415 5TH AVE NE APT. 402
SEATTLE WA
98115-5377
US

IV. Provider business mailing address

7415 5TH AVE NE APT. 402
SEATTLE WA
98115-5377
US

V. Phone/Fax

Practice location:
  • Phone: 206-499-7105
  • Fax:
Mailing address:
  • Phone: 206-499-7105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: