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General NPI Number Information
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NPI Number | 1336675768
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Entity Type | Individual
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Provider Name | VALERIE MARIE VORDERSTRASSE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 1130 TEN ROD RD STE C205D
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4167
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Country | US
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Telephone | 401-329-6336
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Fax |
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Provider Business Mailing Address
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Address Line | 242 LAUREL RIDGE LN
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4151
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Country | US
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Telephone | 860-255-8115
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 10808-PY-PR
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 2014014302
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 10808-PY-PR
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS01631
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PS01631
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License Number State | RI
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