Provider Demographics
NPI:1346420270
Name:COLE SEYDLER, VALERIE MARIE
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:MARIE
Last Name:COLE SEYDLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10026 RESHA RD
Mailing Address - Street 2:
Mailing Address - City:CASTORLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13620-1250
Mailing Address - Country:US
Mailing Address - Phone:315-346-1883
Mailing Address - Fax:
Practice Address - Street 1:10026 RESHA RD
Practice Address - Street 2:
Practice Address - City:CASTORLAND
Practice Address - State:NY
Practice Address - Zip Code:13620-1250
Practice Address - Country:US
Practice Address - Phone:315-346-1883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006478-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist