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VALLEY PSYCHOLOGICAL GROUP INC.

Clinical Neuropsychologist

Bakersfield, California

Provider NPI: 1881623080

Organization Information:
Organization Name:  VALLEY PSYCHOLOGICAL GROUP INC.
Organization is not Subpart
Authorized Official:  GARY A LONGWITH  CEO/CLINICAL PSYCHOLOGIST  661-3273405

Practice Location:
1011 17TH ST  BAKERSFIELD, CA 93301 US
Tel: 661-327-4252  Fax: 661-327-3409

Business Mailing Address:
1011 17TH ST  BAKERSFIELD, CA 93301 US
Tel: 661-327-4252  Fax: 661-327-3409

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CAPSY18868
N103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY18868
N103TA0400XBehavioral Health & Social Service Providers
Psychologist
CAPSY18868
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
CAPSY18868
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
CAPSY18868
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
CAPSY18868
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
CAPSY18868
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
CAPSY18868
N103TH0100XBehavioral Health & Social Service Providers
Psychologist
CAPSY18868
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
CAPSY18868
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
CAPSY18868
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
CAPSY18868

Other Provider Identifiers:

IssuerNumberStateType
PTANZZZ10641ZCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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