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Individual

DR. GUILLERMO OSVALDO HERRERA

Active
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Individual

DR. GUILLERMO OSVALDO HERRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY15739
CA
103TC0700X
Clinical Psychologist
PSY15739
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY15739
CA
103TF0200X
Forensic Psychologist
PSY15739
CA
103TH0004X
Health Psychologist
PSY15739
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY15739
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY157391
MEDI-CAL
CA
Enumeration date
09/12/2008
Last updated
09/12/2008
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