Provider Demographics
NPI:1487315701
Name:STYERS, VALERIE LOUISE (RDH, PHDHP)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:LOUISE
Last Name:STYERS
Suffix:
Gender:F
Credentials:RDH, PHDHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 STONE MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:JERSEY SHORE
Mailing Address - State:PA
Mailing Address - Zip Code:17740-7288
Mailing Address - Country:US
Mailing Address - Phone:570-772-0945
Mailing Address - Fax:
Practice Address - Street 1:81 STONE MOUNTAIN LN
Practice Address - Street 2:
Practice Address - City:JERSEY SHORE
Practice Address - State:PA
Practice Address - Zip Code:17740-7288
Practice Address - Country:US
Practice Address - Phone:570-772-0945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-08
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPHDH001178124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist