Provider Demographics
NPI:1245562339
Name:MCDEVITT, VALERIE W (LPC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:W
Last Name:MCDEVITT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 WILLOW VIEW LN
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-5342
Mailing Address - Country:US
Mailing Address - Phone:314-422-8987
Mailing Address - Fax:
Practice Address - Street 1:444 WILLOW VIEW LN
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-5342
Practice Address - Country:US
Practice Address - Phone:314-422-8987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007006959101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional