Provider Demographics
NPI:1699141127
Name:OGBORN, VALERIE (PHD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:OGBORN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:SCHELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12744 N LANTERN WAY
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-8999
Mailing Address - Country:US
Mailing Address - Phone:520-982-4544
Mailing Address - Fax:
Practice Address - Street 1:7618 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-4201
Practice Address - Country:US
Practice Address - Phone:520-982-4544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-LP 2437103TC0700X
AZ4890103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical