| Valentine And Associates Pa | |
|
1201 Aversboro Rd Suite C Garner NC 27529-5208 | |
| (919) 779-3188 | |
| (919) 779-4223 |
| Full Name | Valentine And Associates Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1201 Aversboro Rd, Garner, North Carolina |
| Authorized Official Name and Position | Ronald J. Valentine (DIRECTOR) |
| Authorized Official Contact | 9197793188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentine And Associates Pa 1201 Aversboro Rd Suite C Garner NC 27529-5208 Ph: (919) 779-3188 | Valentine And Associates Pa 1201 Aversboro Rd Suite C Garner NC 27529-5208 Ph: (919) 779-3188 |
| NPI Number | 1295854750 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 03/20/2012 |
| Medicare PECOS PAC ID | 7113187709 |
|---|---|
| Medicare Enrollment ID | O20120319000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295854750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1118 (North Carolina) | Secondary |
| 103T00000X | Psychologist | 1118 (North Carolina) | Primary |
| Provider Name | Ronald J Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790899797 PECOS PAC ID: 0749440337 Enrollment ID: I20120319000826 |
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