Provider Demographics
NPI:1427877083
Name:VALENTA, ALANNAH (PSYS, NCSP)
Entity type:Individual
Prefix:
First Name:ALANNAH
Middle Name:
Last Name:VALENTA
Suffix:
Gender:F
Credentials:PSYS, NCSP
Other - Prefix:
Other - First Name:ALANNAH
Other - Middle Name:
Other - Last Name:DOSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:232 3RD ST NE
Mailing Address - Street 2:
Mailing Address - City:VALLEY CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58072-3014
Mailing Address - Country:US
Mailing Address - Phone:701-840-6117
Mailing Address - Fax:
Practice Address - Street 1:232 3RD ST NE
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072-3014
Practice Address - Country:US
Practice Address - Phone:701-840-6117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND423263103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool