Provider Demographics
NPI:1801623038
Name:KEHOE, VALERIE M
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:M
Last Name:KEHOE
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 1:8058 WEEDSPORT SENNETT RD
Mailing Address - Street 2:
Mailing Address - City:WEEDSPORT
Mailing Address - State:NY
Mailing Address - Zip Code:13166-9757
Mailing Address - Country:US
Mailing Address - Phone:864-535-1449
Mailing Address - Fax:
Practice Address - Street 1:254 MAIN ST STE 6A
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2599
Practice Address - Country:US
Practice Address - Phone:607-287-4670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY125106104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker