Provider Demographics
NPI:1033267257
Name:SHELL, VALERIE A NIA (MD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:A NIA
Last Name:SHELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9030 STATE ROUTE 108
Mailing Address - Street 2:OAKLAND CENTER
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-1951
Mailing Address - Country:US
Mailing Address - Phone:410-740-1901
Mailing Address - Fax:410-740-2503
Practice Address - Street 1:9030 STATE ROUTE 108
Practice Address - Street 2:OAKLAND CENTER
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1951
Practice Address - Country:US
Practice Address - Phone:410-740-1901
Practice Address - Fax:410-740-2503
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00554302084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry