Provider Demographics
NPI:1124420633
Name:SELDERS, VALARIE FAYE
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:FAYE
Last Name:SELDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 WOODDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1508
Mailing Address - Country:US
Mailing Address - Phone:225-778-7778
Mailing Address - Fax:888-235-0788
Practice Address - Street 1:1755 WOODDALE BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1508
Practice Address - Country:US
Practice Address - Phone:225-778-7778
Practice Address - Fax:888-235-0788
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst