Provider Demographics
NPI:1215676408
Name:HENSLEY, VALOREE (MA, EDS)
Entity type:Individual
Prefix:MRS
First Name:VALOREE
Middle Name:
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:MA, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20384 N 261ST DR
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-7295
Mailing Address - Country:US
Mailing Address - Phone:907-227-9593
Mailing Address - Fax:
Practice Address - Street 1:20384 N 261ST DR
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-7295
Practice Address - Country:US
Practice Address - Phone:907-227-9593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4877233103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool