Provider Demographics
NPI:1215010871
Name:DELMEDICO, VALERIE J (MD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:DELMEDICO
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 1:8640 COPPERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8439
Mailing Address - Country:US
Mailing Address - Phone:614-390-1622
Mailing Address - Fax:
Practice Address - Street 1:8640 COPPERVIEW DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8439
Practice Address - Country:US
Practice Address - Phone:614-390-1622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350587112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0957693Medicaid
0689991Medicare ID - Type Unspecified
OH0957693Medicaid