Provider Demographics
NPI:1629483243
Name:SHURE, VALERIE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:SHURE
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 1:9048 DOVER RD
Mailing Address - Street 2:
Mailing Address - City:APPLE CREEK
Mailing Address - State:OH
Mailing Address - Zip Code:44606-9408
Mailing Address - Country:US
Mailing Address - Phone:330-698-3001
Mailing Address - Fax:330-698-5000
Practice Address - Street 1:9048 DOVER RD
Practice Address - Street 2:
Practice Address - City:APPLE CREEK
Practice Address - State:OH
Practice Address - Zip Code:44606-9408
Practice Address - Country:US
Practice Address - Phone:330-698-3001
Practice Address - Fax:330-698-5000
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND. 2014224235Z00000X
OHSP.12039235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist