Provider Demographics
NPI:1497963029
Name:DUVALL, NANCY SHERMAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:SHERMAN
Last Name:DUVALL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ROSEMEAD SCHOOL OF PSYCHOLOGY BIOLA UNIVERSITY
Mailing Address - Street 2:13800 BIOLA AVE.
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90639-0001
Mailing Address - Country:US
Mailing Address - Phone:562-903-4867
Mailing Address - Fax:
Practice Address - Street 1:12625 LA MIRADA BLVD, # 202
Practice Address - Street 2:BIOLA COUNSELING CENTER
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-2211
Practice Address - Country:US
Practice Address - Phone:562-903-4800
Practice Address - Fax:562-903-4802
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 4509103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical