Provider Demographics
NPI:1962734319
Name:MCILROY, VALERIE MORGAN (VALERIE MCILROY)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:MORGAN
Last Name:MCILROY
Suffix:
Gender:F
Credentials:VALERIE MCILROY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 S COWLEY ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1263
Mailing Address - Country:US
Mailing Address - Phone:509-879-9305
Mailing Address - Fax:
Practice Address - Street 1:922 S COWLEY ST
Practice Address - Street 2:SUITE #2
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1263
Practice Address - Country:US
Practice Address - Phone:509-879-9305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00009351102L00000X
CALCS8399102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst