Healthcare Provider Details

I. General information

NPI: 1134867443
Provider Name (Legal Business Name): VALENTINA PAZ ROVERI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 05/25/2022
Certification Date: 05/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UPPER RAGSDALE DR BLDG A
MONTEREY CA
93940-5736
US

IV. Provider business mailing address

2 UPPER RAGSDALE DR BLDG A
MONTEREY CA
93940-5736
US

V. Phone/Fax

Practice location:
  • Phone: 831-642-6201
  • Fax: 831-658-3058
Mailing address:
  • Phone: 831-642-6201
  • Fax: 831-658-3058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number117462
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: