Provider Demographics
NPI:1013789437
Name:GERMAN, VALANDA L II
Entity Type:Individual
Prefix:
First Name:VALANDA
Middle Name:L
Last Name:GERMAN
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ROB WAY # 316
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-6603
Mailing Address - Country:US
Mailing Address - Phone:714-699-8705
Mailing Address - Fax:
Practice Address - Street 1:100 N ROB WAY # 316
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-6603
Practice Address - Country:US
Practice Address - Phone:714-699-8705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141987106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist