Provider Demographics
NPI:1457867228
Name:SUMPTER, VALERIE MARIE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:MARIE
Last Name:SUMPTER
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 1:3300 TRUXTUN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3143
Mailing Address - Country:US
Mailing Address - Phone:661-868-7871
Mailing Address - Fax:661-868-8317
Practice Address - Street 1:3300 TRUXTUN AVE STE 200
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3143
Practice Address - Country:US
Practice Address - Phone:661-868-7871
Practice Address - Fax:661-868-8317
Is Sole Proprietor?:No
Enumeration Date:2017-12-15
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT114552106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist