Provider Demographics
NPI:1346369766
Name:CORREA, VALERIE RAE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:RAE
Last Name:CORREA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E EVERGREEN BLVD STE 313
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3280
Mailing Address - Country:US
Mailing Address - Phone:503-869-1183
Mailing Address - Fax:360-993-5262
Practice Address - Street 1:400 E EVERGREEN BLVD STE 313
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3280
Practice Address - Country:US
Practice Address - Phone:503-869-1183
Practice Address - Fax:360-993-5262
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003198103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent