Provider Demographics
NPI:1013173616
Name:MASIKER, VALERIE L (MS/CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:L
Last Name:MASIKER
Suffix:
Gender:F
Credentials:MS/CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5323 EDEN LAKE CT
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-1717
Mailing Address - Country:US
Mailing Address - Phone:918-606-0944
Mailing Address - Fax:
Practice Address - Street 1:5323 EDEN LAKE CT
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-1717
Practice Address - Country:US
Practice Address - Phone:918-606-0944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-03
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA12799235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist