Individual
MRS. TERESA BREA VALLEDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
4308 N 51ST AVE, SUITE 102, PHOENIX, AZ 85031-1914
(623) 691-1917
Mailing address
9104 W CORDES RD, TOLLESON, AZ 85353-1509
(623) 691-1917
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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