Provider Demographics
NPI:1508164922
Name:M H VALE, P.C.
Entity Type:Organization
Organization Name:M H VALE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:ADELE HERBST
Authorized Official - Last Name:VALE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, L/CCC-SLP
Authorized Official - Phone:219-661-0867
Mailing Address - Street 1:3805 W 107TH LN
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-2951
Mailing Address - Country:US
Mailing Address - Phone:219-661-0867
Mailing Address - Fax:219-663-0299
Practice Address - Street 1:3805 W 107TH LN
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-2951
Practice Address - Country:US
Practice Address - Phone:219-661-0867
Practice Address - Fax:219-663-0299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22002122A235Z00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty