# DR. GUILLERMO OSVALDO HERRERA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275782302
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2008
- **Last updated:** 09/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PSY157391 | MEDI-CAL | CA |