Individual
DR. GUILLERMO OSVALDO HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9345 PIONEER BLVD, #202, SANTA FE SPRINGS, CA 90670-2387
(310) 601-8170
(310) 693-8012
Mailing address
9345 PIONEER BLVD, #202, SANTA FE SPRINGS, CA 90670-2387
(310) 601-8170
(310) 693-8012
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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