Provider Demographics
NPI:1801906235
Name:MORRISON, VALERIE JEAN (DC, CCSP)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:JEAN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 SAN MIGUEL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4962
Mailing Address - Country:US
Mailing Address - Phone:925-938-2424
Mailing Address - Fax:925-938-2922
Practice Address - Street 1:1844 SAN MIGUEL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4962
Practice Address - Country:US
Practice Address - Phone:925-938-2424
Practice Address - Fax:925-938-2922
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24949111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0249490Medicare UPIN