Provider Demographics
NPI:1952442907
Name:PADGETT, VALERIE RUTH (PHD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:RUTH
Last Name:PADGETT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2971 CROUSE LN STE D
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8446
Mailing Address - Country:US
Mailing Address - Phone:336-449-6373
Mailing Address - Fax:
Practice Address - Street 1:2971 CROUSE LN STE D
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8446
Practice Address - Country:US
Practice Address - Phone:336-449-6373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1782103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical