Valjean Marie Stead, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS006307L Issued in PA

Practice address

91 Newport Pike
Suite 301
Gap, PA 17527-9579

Phone

(717) 442-8663

Fax

(717) 442-8663

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679790067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HARRISON AVE",
            "city": "CHRISTIANA",
            "state": "PA",
            "postal_code": "175091208",
            "telephone_number": "610-593-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NEWPORT PIKE",
            "address_2": "SUITE 301",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279579",
            "telephone_number": "717-442-8663",
            "fax_number": "717-442-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEAD",
        "first_name": "VALJEAN",
        "middle_name": "MARIE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006307L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0762153000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2927990",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "N6U95",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2927989",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kellen Elizabeth Sobiech, LMT
• Shawn Michael Stanislaw, DPT
• The Eye Care Connection, Inc.
• Amy Thompson
• Robert C Tindall, PH.D.
• Noreen Anne Tracy
• Marisa Lynn Umble

• All providers in Gap, PA
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.