Provider Demographics
NPI:1710607692
Name:TOTH O SULLIVAN, VALERIE LYNNE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:LYNNE
Last Name:TOTH O SULLIVAN
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 1:6 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1506
Mailing Address - Country:US
Mailing Address - Phone:475-323-0403
Mailing Address - Fax:
Practice Address - Street 1:FAMILY STUDY CENTER
Practice Address - Street 2:57 NORTH STREET SUITE 419
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810
Practice Address - Country:US
Practice Address - Phone:203-778-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
005347101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional