Provider Demographics
NPI:1780344861
Name:VALEARY, DONNA P
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:P
Last Name:VALEARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 MAZANT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-5034
Mailing Address - Country:US
Mailing Address - Phone:504-236-8785
Mailing Address - Fax:504-236-8785
Practice Address - Street 1:2214 MAZANT ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-5034
Practice Address - Country:US
Practice Address - Phone:504-236-8785
Practice Address - Fax:504-236-8785
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9694104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker