Provider Demographics
NPI:1871736892
Name:ROPER, VALERIE
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:ROPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2699 COLONEL DURHAM ST
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-7303
Mailing Address - Country:US
Mailing Address - Phone:831-394-5059
Mailing Address - Fax:831-394-5059
Practice Address - Street 1:2699 COLONEL DURHAM ROAD
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-1516
Practice Address - Country:US
Practice Address - Phone:831-394-5059
Practice Address - Fax:831-394-5059
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator