Travis, Valerie A
Travis, Valerie A is an sole proprietor health care provider with primary practice located at 811 Church Rd Suite 137, Cherry Hill NJ 08002-1412. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Travis, Valerie A can be contacted via phone (856) 904-3525.Contact Information
Primary practice address
811 Church Rd Suite 137
Cherry Hill NJ 08002-1412
Phone: (856) 904-3525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37PC00318200 | New Jersey |
Profile Details
| NPI number | 1700901618 |
|---|---|
| LBN Legal business name | Travis, Valerie A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Nov 29th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700901618 | NPPES |
| New Jersey | Other | 2807004000 | AMERIHEALTH |
| New Jersey | Other | 600024676 | AMERIHEALTH |
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