Provider Demographics
NPI:1588859698
Name:VALLE ASSOCIATES, INC
Entity Type:Organization
Organization Name:VALLE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:SCD
Authorized Official - Phone:617-257-1259
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:57 DENNISON RD
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-0429
Mailing Address - Country:US
Mailing Address - Phone:617-257-1259
Mailing Address - Fax:508-896-1180
Practice Address - Street 1:181 N COMMON ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01905-2506
Practice Address - Country:US
Practice Address - Phone:617-257-1259
Practice Address - Fax:508-896-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Single Specialty