Provider Demographics
NPI:1467634527
Name:WINFORD, VALERIE MARCELLA (SLP)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:MARCELLA
Last Name:WINFORD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3907 CARATOKE HWY
Mailing Address - Street 2:
Mailing Address - City:BARCO
Mailing Address - State:NC
Mailing Address - Zip Code:27917-9500
Mailing Address - Country:US
Mailing Address - Phone:252-457-0521
Mailing Address - Fax:252-457-0540
Practice Address - Street 1:3907 CARATOKE HWY
Practice Address - Street 2:
Practice Address - City:BARCO
Practice Address - State:NC
Practice Address - Zip Code:27917-9500
Practice Address - Country:US
Practice Address - Phone:252-457-0521
Practice Address - Fax:252-457-0540
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6249235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist