Provider Demographics
NPI:1275726945
Name:ESGAR, VALERIE LYN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:LYN
Last Name:ESGAR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6916 E. SUNNYVALE RD.
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253
Mailing Address - Country:US
Mailing Address - Phone:602-820-3970
Mailing Address - Fax:623-376-3080
Practice Address - Street 1:22800 N 67TH AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85310-4235
Practice Address - Country:US
Practice Address - Phone:623-376-3022
Practice Address - Fax:623-376-3080
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP5604235Z00000X
AZSLP5604235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist