Provider Demographics
NPI:1427451848
Name:VALLEE ASSOCIATES IN PSYCHOLOGY
Entity type:Organization
Organization Name:VALLEE ASSOCIATES IN PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYNN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:VALLOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-253-0002
Mailing Address - Street 1:970 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-1224
Mailing Address - Country:US
Mailing Address - Phone:401-253-0002
Mailing Address - Fax:
Practice Address - Street 1:970 HOPE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-1224
Practice Address - Country:US
Practice Address - Phone:401-253-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00361101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty