Provider Demographics
NPI:1558755272
Name:ALBERT, VALERIE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:ALBERT
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:PO BOX 821
Mailing Address - Street 2:APT/SUITE
Mailing Address - City:PRYOR
Mailing Address - State:OK
Mailing Address - Zip Code:74362-0821
Mailing Address - Country:US
Mailing Address - Phone:918-803-3609
Mailing Address - Fax:
Practice Address - Street 1:3 N ADAIR ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PRYOR
Practice Address - State:OK
Practice Address - Zip Code:74361-2479
Practice Address - Country:US
Practice Address - Phone:918-803-3609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator