Provider Demographics
NPI:1205867918
Name:LEMMON, VALERIE ANN (PSY D)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ANN
Last Name:LEMMON
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:ANN
Other - Last Name:KUNKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2818 GREEN STREET
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-1228
Mailing Address - Country:US
Mailing Address - Phone:717-238-6880
Mailing Address - Fax:717-238-6885
Practice Address - Street 1:2818 GREEN STREET
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-1228
Practice Address - Country:US
Practice Address - Phone:717-238-6880
Practice Address - Fax:717-238-6885
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPSO15896103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
100771J6PMedicare ID - Type Unspecified