# VALLEY DEVELOPMENT SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134262512
- **Authorized official:** MARY ELIZABETH MADKIN MA CCC SLP (SPEECH PATHOLOGIST)
- **Authorized official phone:** (909) 908-1771

## Contact information

- **Practice address:** 4959 PALO VERDE ST STE 101C, MONTCLAIR, CA 91763-2358
- **Practice address phone:** (877) 284-8923
- **Practice address fax:** (877) 284-8923
- **Mailing address:** 1681 GLENWOOD AVE, UPLAND, CA 91784-8801
- **Mailing address phone:** (877) 284-8923
- **Mailing address fax:** (877) 284-8923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164X00000X | Licensed Vocational Nurse | VN 130263 | CA | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 11/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 9202009 | INLAND EMPIRE HEALTH PLAN | CA |