Individual
DAVID TYLER VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCMA
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
J5M6H2Q9
NV
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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