Provider Demographics
NPI:1114324977
Name:ROY, VALORI
Entity Type:Individual
Prefix:
First Name:VALORI
Middle Name:
Last Name:ROY
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 1:26428 W US HIGHWAY 85
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-5002
Mailing Address - Country:US
Mailing Address - Phone:623-882-9906
Mailing Address - Fax:623-882-9908
Practice Address - Street 1:26428 W US HIGHWAY 85
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-5002
Practice Address - Country:US
Practice Address - Phone:623-882-9906
Practice Address - Fax:623-882-9908
Is Sole Proprietor?:No
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-14336101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health