Provider Demographics
NPI:1124083688
Name:KEMPER, VALERIE ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ANN
Last Name:KEMPER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13575 W. INDIAN SCHOOL RD.
Mailing Address - Street 2:SUITE #500
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340
Mailing Address - Country:US
Mailing Address - Phone:623-312-3713
Mailing Address - Fax:623-328-9352
Practice Address - Street 1:13575 W. INDIAN SCHOOL RD.
Practice Address - Street 2:SUITE #500
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340
Practice Address - Country:US
Practice Address - Phone:623-312-3713
Practice Address - Fax:623-328-9352
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3338103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ73552Medicare PIN