Provider Demographics
NPI:1558529917
Name:VALENTA, JEANNINE MARIE (MS)
Entity Type:Individual
Prefix:MS
First Name:JEANNINE
Middle Name:MARIE
Last Name:VALENTA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 WHISPERING PINE LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-2425
Mailing Address - Country:US
Mailing Address - Phone:708-983-5994
Mailing Address - Fax:
Practice Address - Street 1:591 WHISPERING PINE LN
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-2425
Practice Address - Country:US
Practice Address - Phone:708-983-5994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-01
Last Update Date:2008-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 9343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist