Provider Demographics
NPI:1205899184
Name:STOTZ, VALORIE ANN
Entity type:Individual
Prefix:
First Name:VALORIE
Middle Name:ANN
Last Name:STOTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VALORIE
Other - Middle Name:ANN
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC/SLP
Mailing Address - Street 1:50 MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:LE ROY
Mailing Address - State:NY
Mailing Address - Zip Code:14482-1314
Mailing Address - Country:US
Mailing Address - Phone:585-768-6552
Mailing Address - Fax:
Practice Address - Street 1:550 LATONA RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-2700
Practice Address - Country:US
Practice Address - Phone:585-723-2140
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002926-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist