Provider Demographics
NPI:1992951289
Name:MCADAMS, VALERIE L (PSYD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:L
Last Name:MCADAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2268 MOUNT ZION RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-2528
Mailing Address - Country:US
Mailing Address - Phone:770-603-3400
Mailing Address - Fax:770-603-3404
Practice Address - Street 1:2268 MOUNT ZION RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2528
Practice Address - Country:US
Practice Address - Phone:770-603-3400
Practice Address - Fax:770-603-3404
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2435103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000884078BMedicaid