Provider Demographics
NPI:1770716052
Name:VALATKA, DEBRA H (HIS, ACA)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:H
Last Name:VALATKA
Suffix:
Gender:F
Credentials:HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 MANCHESTER RD STE A
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-3600
Mailing Address - Country:US
Mailing Address - Phone:330-785-0800
Mailing Address - Fax:330-785-0802
Practice Address - Street 1:2315 MANCHESTER RD STE A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-3600
Practice Address - Country:US
Practice Address - Phone:330-785-0800
Practice Address - Fax:330-785-0802
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02717237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist