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Individual

MR. HERBERTH RICARDO VALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369
(909) 425-7679
(909) 425-6635
Mailing address
1600 9TH ST, ROOM 140, SACRAMENTO, CA 95814-6414
(916) 651-9475
(909) 653-6376

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25545
CA
1041C0700X
Clinical Social Worker
CA

Other

Enumeration date
03/14/2007
Last updated
04/12/2013
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