DR. LISSETTE VANESSA VALENZUELA


Address: 525 N Garland Ave, Fayetteville, AR 72701-3110
Phone: 4795755276

DR. LISSETTE VANESSA VALENZUELA (NPI# 1174657779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174657779
Entity Type Individual
Full Name DR. LISSETTE VANESSA VALENZUELA
Credential PH.D.
Practice Address 525 N Garland Ave
Fayetteville
AR 72701-3110
Mailing Address 5111 Sandhurst
Rogers
AR 72758-8216
Practice Telephone 4795755276
Enumeration Date 2007-03-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Office Location

Street Address 525 N GARLAND AVE
City FAYETTEVILLE
State AR
Zip Code 72701-3110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194751164 Elizabeth Ann Woods Obstetrics & Gynecology 525 N Garland Ave, Fayetteville, AR 72701-3110 2006-06-23
1326451238 Hilary Grace Casner Psychologist 525 N Garland Ave, Fayetteville, AR 72701-3110 2014-06-09
1306018478 Willa Sue Howerton Nurse Practitioner 525 N Garland Ave, 1 University of Arkansas, Fayetteville, AR 72701-3110 2008-03-29
1538331962 Deborah Deere Family Medicine 525 N Garland Ave, University of Arkansas, Fayetteville, AR 72701-3110 2008-03-26
1194938381 Georgiann Weaver Midwife 525 N Garland Ave, Fayetteville, AR 72701-3110 2007-05-07
1124152012 Rosalyn D Davis Psychologist 525 N Garland Ave, Pat Walker Health Center Room 255, Fayetteville, AR 72701-3110 2007-03-15
1447384029 Cece Hilliard Social Worker 525 N Garland Ave, Fayetteville, AR 72701-3110 2007-03-15
1104966589 Leigh Fincher Emergency Medicine 525 N Garland Ave, Fayetteville, AR 72701-3110 2007-02-07
1912043043 Huda Sharaf Internal Medicine 525 N Garland Ave, 1 University of Arkansas, Fayetteville, AR 72701-3110 2007-01-29
1699885921 Pamela J. Matthews Counselor 525 N Garland Ave, Fayetteville, AR 72701-3110 2006-08-30
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1740634435 Crystal Susan Rofkahr Psychologist 26 E Meadow St Ste 3, Fayetteville, AR 72701 2016-04-19
1912383233 Lee Lytton Psychologist 2537 Raeford Rd, Suite D, Fayetteville, NC 28305-5095 2015-08-10
1659583599 Shirley Marie Broadwater Psychologist 1111 Houser Rd, Fayetteville, PA 17222-9731 2007-05-04
1336107267 Loleta Wood Foster Psychologist 5114 Yadkin Rd, #120, Fayetteville, NC 28303-3251 2006-05-02
1538513221 Dr C S Rofkahr Pllc Psychologist 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 2016-04-19
1114365293 Russell T House Psychologist 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2013-06-11
1225375553 Allie Frances Wakefield Psychologist 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2013-01-07
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Competitor

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City FAYETTEVILLE
Zip Code 72701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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