Provider Demographics
NPI:1013381615
Name:SIMON, VALERIE
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:SIMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ASMA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3868
Mailing Address - Country:US
Mailing Address - Phone:337-456-7880
Mailing Address - Fax:337-456-7882
Practice Address - Street 1:100 ASMA BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-456-7880
Practice Address - Fax:337-456-7888
Is Sole Proprietor?:No
Enumeration Date:2015-11-19
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator