Provider Demographics
NPI:1508064122
Name:VALERIO, HOLLY JANELLE (MD)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:JANELLE
Last Name:VALERIO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12625 HIGH BLUFF DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2053
Mailing Address - Country:US
Mailing Address - Phone:215-948-2577
Mailing Address - Fax:816-339-3952
Practice Address - Street 1:12625 HIGH BLUFF DRIVE
Practice Address - Street 2:SUITE 101, RM 6
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2053
Practice Address - Country:US
Practice Address - Phone:215-948-2577
Practice Address - Fax:816-339-3952
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1925192084P0800X
PAMD4377962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry