Provider Demographics
NPI:1922874429
Name:MARBACH, VALERIE (MED PLC)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:MARBACH
Suffix:
Gender:F
Credentials:MED PLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 N SCOTTSDALE RD STE 9353
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3331
Mailing Address - Country:US
Mailing Address - Phone:602-935-7221
Mailing Address - Fax:
Practice Address - Street 1:3010 N 67TH PL STE 105
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6086
Practice Address - Country:US
Practice Address - Phone:602-935-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-22641101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health