Provider Demographics
NPI:1578234068
Name:VALENTINO-SUNDY, CHRISTIE L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:L
Last Name:VALENTINO-SUNDY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:L
Other - Last Name:VALENTINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1529 BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83725-9251
Mailing Address - Country:US
Mailing Address - Phone:208-426-1459
Mailing Address - Fax:
Practice Address - Street 1:1529 BELMONT STREET
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83725-6040
Practice Address - Country:US
Practice Address - Phone:208-426-1459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDSE-203381390200000X
ID9598101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program