Provider Demographics
NPI:1891382354
Name:HENDON, VALERIE JEAN X
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JEAN
Last Name:HENDON
Suffix:X
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 1:879 JAMESTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1811
Mailing Address - Country:US
Mailing Address - Phone:440-654-3425
Mailing Address - Fax:
Practice Address - Street 1:879 JAMESTOWN AVE
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-1811
Practice Address - Country:US
Practice Address - Phone:440-654-3425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services