Valerie Rae Deladurantaye, BS QMHP QIDP

Individual provider Active NPI Day Training/Habilitation Specialist · Kawkawlin, MI

NPI 1780187773 · NPPES record last updated Mar 15, 2018

Key facts

NPI
1780187773
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
1961 Parish Rd
Kawkawlin, MI 48631-9459
Phone
(989) 895-2273
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X MI Yes

Addresses

Primary practice location

1961 Parish Rd
Kawkawlin, MI 48631-9459

Mailing address

1313 Cass Ave
Bay City, MI 48708-8736
Phone (989) 895-2273

Other providers in Kawkawlin, MI

All providers in Kawkawlin, MI · Day Training/Habilitation Specialist in Michigan

Sources for this page

Verify at the official NPI Registry.