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General NPI Number Information
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NPI Number | 1356390165
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Entity Type | Organization
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Legal Business Name | VALLIERE & COUNSELING ASSOCIATES, INC
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 726 CHURCH ST
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City | FOGELSVILLE
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State | PA
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Zip | 18051-1603
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Country | US
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Telephone | 610-530-8392
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Fax | 610-530-8940
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Provider Business Mailing Address
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Address Line | 726 CHURCH ST P.O. BOX 864
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City | FOGELSVILLE
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State | PA
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Zip | 18051-1603
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Country | US
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Telephone | 610-530-8392
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Fax | 610-530-8940
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VERONIQUE NICOLE VALLIERE
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Credential | PSY.D.
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Telephone | 610-530-8392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS007952L
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License Number State | PA
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