Provider Demographics
NPI:1437360336
Name:VALENTINE, KATHLEEN MARIE (MASTERS)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MARIE
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FORTUNA #26
Mailing Address - Street 2:
Mailing Address - City:ST. THOMAS
Mailing Address - State:VIRGIN ISLANDS
Mailing Address - Zip Code:00802
Mailing Address - Country:VG
Mailing Address - Phone:340-777-8804
Mailing Address - Fax:340-776-4501
Practice Address - Street 1:26 ESTATE FORTUNA
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-0581
Practice Address - Country:US
Practice Address - Phone:340-777-8804
Practice Address - Fax:340-776-4501
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist