MEDICARE: DR. JEFFREY SCOTT VALLON PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	003434	NY

General Provider Information

NPI Number	:	1134283682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY SCOTT VALLON PH.D.

Provider Business Mailing Address
First Line	:	8 ROBIN HOOD RD
Second Line	:
City	:	MONTEBELLO
State	:	NY
Zip	:	10901-3809
Country	:	US
Telephone Number	:	845-368-2647
Fax Number	:	845-368-0151

Provider Business Practice Location Address
First Line	:	8 ROBIN HOOD RD
Second Line	:
City	:	MONTEBELLO
State	:	NY
Zip	:	10901-3809
Country	:	US
Telephone Number	:	845-368-2647
Fax Number	:	845-368-0151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/08/2007

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