Provider Demographics
NPI:1386787075
Name:FLEURIMOND, VALARIE (MSCCC-SLP)
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:
Last Name:FLEURIMOND
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 MARKET PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-4906
Mailing Address - Country:US
Mailing Address - Phone:334-239-7357
Mailing Address - Fax:
Practice Address - Street 1:3058 DAUPHIN SQ CONNECTOR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-2500
Practice Address - Country:US
Practice Address - Phone:251-479-4900
Practice Address - Fax:251-479-4998
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ4026235Z00000X
AL2630235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12092996OtherASHA