Provider Demographics
NPI:1609177617
Name:TIMKO, VALERIE A (MS, LLP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:A
Last Name:TIMKO
Suffix:
Gender:F
Credentials:MS, LLP
Other - Prefix:MS
Other - First Name:VALERIA
Other - Middle Name:A
Other - Last Name:HEDRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30665 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 255
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3297
Mailing Address - Country:US
Mailing Address - Phone:734-788-3233
Mailing Address - Fax:248-254-3333
Practice Address - Street 1:30665 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 255
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3142
Practice Address - Country:US
Practice Address - Phone:734-788-3233
Practice Address - Fax:248-254-3333
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-07
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012599103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist