Provider Demographics
NPI:1225216807
Name:LACEFIELD, VALARIE L (MS,CCC-SLP INC)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:L
Last Name:LACEFIELD
Suffix:
Gender:F
Credentials:MS,CCC-SLP INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5285 SW 85TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-4775
Mailing Address - Country:US
Mailing Address - Phone:352-804-0413
Mailing Address - Fax:
Practice Address - Street 1:5285 SW 85TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-4775
Practice Address - Country:US
Practice Address - Phone:352-804-0413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA3106235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist