Provider Demographics
NPI:1780260125
Name:ISLEIB, VALENTINA (MFT)
Entity type:Individual
Prefix:
First Name:VALENTINA
Middle Name:
Last Name:ISLEIB
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 OAK TER
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5205
Mailing Address - Country:US
Mailing Address - Phone:917-841-8817
Mailing Address - Fax:
Practice Address - Street 1:168 W RIDGE PIKE STE 208
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-1774
Practice Address - Country:US
Practice Address - Phone:917-841-8817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist