Provider Demographics
NPI:1043376817
Name:ALLENDORF, VALERIE A (MA)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:A
Last Name:ALLENDORF
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10867 LAKEHURST CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3109
Mailing Address - Country:US
Mailing Address - Phone:513-608-9362
Mailing Address - Fax:513-469-2069
Practice Address - Street 1:585 N STATE ROUTE 741
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8840
Practice Address - Country:US
Practice Address - Phone:513-608-9362
Practice Address - Fax:513-469-2069
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA 00295231H00000X, 231HA2400X
WV0394231H00000X
OHA 0096235500000X
OHA00295332S00000X
WV2275235Z00000X
OHSP 0096235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
No332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH#A00295OtherOHIO BD. OF SPCH/AUD
OHA 00295OtherOH BD OF SPCH/AUDIOLOGY
OH00758227OtherASHA
OH0455609Medicaid
OHSP 0096OtherOH BD OF SPEECH PATHOLOGY