Provider Demographics
NPI:1306866959
Name:NEMENZ, VALERIE J (MED)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:NEMENZ
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-4403
Mailing Address - Country:US
Mailing Address - Phone:814-336-6308
Mailing Address - Fax:814-337-6067
Practice Address - Street 1:462 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-4403
Practice Address - Country:US
Practice Address - Phone:814-336-6308
Practice Address - Fax:814-337-6067
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007946L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling