Provider Demographics
NPI:1780820407
Name:VALENTI, MONICA LYNN (SLP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNN
Last Name:VALENTI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 PARK AVE
Mailing Address - Street 2:APT. 1507
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-7105
Mailing Address - Country:US
Mailing Address - Phone:201-683-3132
Mailing Address - Fax:
Practice Address - Street 1:77 PARK AVE
Practice Address - Street 2:APT. 1507
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-7105
Practice Address - Country:US
Practice Address - Phone:201-683-3132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016670-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist