Provider Demographics
NPI:1437779618
Name:DEL VALLE, EDUARDO CARLOS (PSYCHOLOGIST, MA)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:CARLOS
Last Name:DEL VALLE
Suffix:
Gender:M
Credentials:PSYCHOLOGIST, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 UPSHUR ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5635
Mailing Address - Country:US
Mailing Address - Phone:202-671-6270
Mailing Address - Fax:
Practice Address - Street 1:1350 UPSHUR ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5635
Practice Address - Country:US
Practice Address - Phone:202-671-6270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool