Provider Demographics
NPI:1922578210
Name:PROUGH, VALARIE ANN (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:VALARIE
Middle Name:ANN
Last Name:PROUGH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 PARKVIEW
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-1742
Mailing Address - Country:US
Mailing Address - Phone:361-522-7936
Mailing Address - Fax:
Practice Address - Street 1:404 W GOODWIN ST
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-4002
Practice Address - Country:US
Practice Address - Phone:830-569-2138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist