Provider Demographics
NPI:1255827804
Name:VALVODA, LINDSEY (QMHS)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:VALVODA
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2882 CRICKET LN
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44092-1412
Mailing Address - Country:US
Mailing Address - Phone:440-347-0716
Mailing Address - Fax:
Practice Address - Street 1:2882 CRICKET LN
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44092-1412
Practice Address - Country:US
Practice Address - Phone:440-347-0716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health