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NPI Code Detail

MEDICARE: MRS. VALERIE JO SPAULDING NONE

MEDICARE: MRS. VALERIE JO SPAULDING NONE
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1205969821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VALERIE JO SPAULDING NONE
Provider Business Mailing Address
First Line : 305 E 400 S
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-7841
Country : US
Telephone Number : 219-477-5294
Fax Number : 219-477-5294
Provider Business Practice Location Address
First Line : 1120 S CALUMET RD STE 3
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-3286
Country : US
Telephone Number : 219-983-9675
Fax Number : 219-983-9681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 12/17/2018

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