Provider Demographics
NPI:1508170523
Name:VALLELY, JAMES FRANCIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANCIS
Last Name:VALLELY
Suffix:
Gender:M
Credentials:PHD
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Other - First Name:
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Mailing Address - Street 1:8049 ARLINGTON EXPY
Mailing Address - Street 2:SUITE 12
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-6269
Mailing Address - Country:US
Mailing Address - Phone:904-724-2405
Mailing Address - Fax:904-724-3173
Practice Address - Street 1:8049 ARLINGTON EXPY
Practice Address - Street 2:SUITE 12
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-6269
Practice Address - Country:US
Practice Address - Phone:904-724-2405
Practice Address - Fax:904-724-3173
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPY3460103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical