Provider Demographics
NPI:1982951331
Name:RIVERA, VALERIE DELPHINE (HAS)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:DELPHINE
Last Name:RIVERA
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 TOMPKINS STREET
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450
Mailing Address - Country:US
Mailing Address - Phone:352-423-1799
Mailing Address - Fax:
Practice Address - Street 1:506 TOMPKINS STREET
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450
Practice Address - Country:US
Practice Address - Phone:352-423-1799
Practice Address - Fax:352-243-6474
Is Sole Proprietor?:No
Enumeration Date:2012-08-04
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4803237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist