Provider Demographics
NPI:1750558896
Name:SUTTON, VALERIE WAGNER (MS FAAA)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:WAGNER
Last Name:SUTTON
Suffix:
Gender:F
Credentials:MS FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MILFORD ST
Mailing Address - Street 2:STE 101
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6966
Mailing Address - Country:US
Mailing Address - Phone:301-315-5888
Mailing Address - Fax:301-315-5866
Practice Address - Street 1:9420 KEY WEST AVE
Practice Address - Street 2:SUITE 430
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3334
Practice Address - Country:US
Practice Address - Phone:301-315-5888
Practice Address - Fax:301-315-5866
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00244231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist