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Organization
VALLEY PSYCHOLOGICAL CENTER
Active
Organization
VALLEY PSYCHOLOGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY HOYT PHD. (OWNER/PHYSICIAN)
(619) 203-5336
Entity
Organization
Contact information
Practice address
1850 W MAIN ST, SUITE B, EL CENTRO, CA 92243-2198
(760) 352-9090
(760) 352-9920
Mailing address
3411 3RD AVE, SAN DIEGO, CA 92103-4906
(619) 203-5336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PSY16717
CA
101YP2500X
Professional Counselor
PSY16717
CA
103T00000X
Psychologist
Primary
PSY16717
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY16717
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY16717
CA
103TF0000X
Family Psychologist
PSY16717
CA
103TP2701X
Group Psychotherapy Psychologist
PSY16717
CA
106H00000X
Marriage & Family Therapist
PSY16717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184867962
NPI NUMBER
CA
Enumeration date
06/06/2013
Last updated
06/06/2013
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