Provider Demographics
NPI:1386713204
Name:ROACHE, VALERIE A (PA)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:A
Last Name:ROACHE
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:ROACHE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1605 N CEDAR CREST BLVD STE 110B
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:1401 FAIRMONT ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052
Practice Address - Country:US
Practice Address - Phone:610-432-4122
Practice Address - Fax:610-432-6677
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051541363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant