Provider Demographics
NPI:1366712358
Name:SHINGLEDECKER, VALERIE ROSE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ROSE
Last Name:SHINGLEDECKER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:ROSE
Other - Last Name:KEPLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:740 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-4403
Mailing Address - Country:US
Mailing Address - Phone:814-227-7924
Mailing Address - Fax:
Practice Address - Street 1:104 S 1ST ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-3635
Practice Address - Country:US
Practice Address - Phone:909-213-5967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14046084235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist