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Organization
VALLEY PSYCHOLOGICAL GROUP INC.
Active
Organization
VALLEY PSYCHOLOGICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A LONGWITH PSYD (CEO/CLINICAL PSYCHOLOGIST)
(661) 327-4252
Entity
Organization
Contact information
Practice address
2100 E ST, BAKERSFIELD, CA 93301-3808
(661) 327-4252
(661) 327-3409
Mailing address
PO BOX 10627, BAKERSFIELD, CA 93389-0627
(661) 327-4252
(661) 327-4252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PSY18868
CA
103T00000X
Psychologist
PSY18868
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY18868
CA
103TC0700X
Clinical Psychologist
PSY18868
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY18868
CA
103TF0000X
Family Psychologist
PSY18868
CA
103TF0200X
Forensic Psychologist
PSY18868
CA
103TH0100X
Health Service Psychologist
PSY18868
CA
103TP2701X
Group Psychotherapy Psychologist
PSY18868
CA
1041C0700X
Clinical Social Worker
PSY18868
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ10641Z
PTAN
CA
Enumeration date
07/01/2006
Last updated
05/30/2024
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