Johanna Valencia, is a
Psychologist - School based in Gustine, California. Johanna Valencia is licensed to practice in California (license number ) and her current practice location is
1500 Meredith Ave, Gustine, California. She can be reached at her office (for appointments etc.) via phone at
(209) 854-3784.
NPI number for Johanna Valencia is 1023825312 and her current mailing address is 926 E Pacheco Blvd, Los Banos, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023825312.
Healthcare Provider's Profile
| Full Name | Johanna Valencia |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 1500 Meredith Ave, Gustine, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023825312
- Provider Enumeration Date: 12/11/2024
- Last Update Date: 12/11/2024
Medical Identifiers
Medical identifiers for Johanna Valencia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023825312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johanna Valencia is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Johanna Valencia,
926 E Pacheco Blvd,
Los Banos, CA 93635-4328
Ph: () - | Johanna Valencia,
1500 Meredith Ave,
Gustine, CA 95322-1701
Ph: (209) 854-3784 |
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