Provider Demographics
NPI:1841084548
Name:VALDERRAMA PSYCHOLOGICAL, P.C.
Entity type:Organization
Organization Name:VALDERRAMA PSYCHOLOGICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VALDERRAMA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:415-683-0470
Mailing Address - Street 1:2489 MISSION ST STE 10
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2473
Mailing Address - Country:US
Mailing Address - Phone:415-683-0470
Mailing Address - Fax:650-488-6151
Practice Address - Street 1:2489 MISSION ST STE 10
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2473
Practice Address - Country:US
Practice Address - Phone:415-683-0470
Practice Address - Fax:650-488-6151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1134453103OtherNPI