Provider Demographics
NPI:1609220417
Name:BELL, VALENE RENEE
Entity Type:Individual
Prefix:
First Name:VALENE
Middle Name:RENEE
Last Name:BELL
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 1:1200 ROCK BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-0640
Mailing Address - Country:US
Mailing Address - Phone:775-499-5525
Mailing Address - Fax:
Practice Address - Street 1:1200 ROCK BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-0640
Practice Address - Country:US
Practice Address - Phone:775-499-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV200041120271103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Single Specialty