Provider Demographics
NPI:1790519494
Name:SCELSA, VALERIE LYNN (PHD)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:LYNN
Last Name:SCELSA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 CLIFF ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-2101
Mailing Address - Country:US
Mailing Address - Phone:914-924-9961
Mailing Address - Fax:
Practice Address - Street 1:34 S BROADWAY STE 104
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4432
Practice Address - Country:US
Practice Address - Phone:914-468-4447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist