Healthcare Provider Details

I. General information

NPI: 1962819722
Provider Name (Legal Business Name): VALERIE ROBERTS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2014
Last Update Date: 10/09/2020
Certification Date: 10/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3529 SACRAMENTO ST STE 205
SAN FRANCISCO CA
94118-1869
US

IV. Provider business mailing address

3529 SACRAMENTO ST STE 205
SAN FRANCISCO CA
94118-1869
US

V. Phone/Fax

Practice location:
  • Phone: 415-446-9052
  • Fax:
Mailing address:
  • Phone: 415-446-9052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY32131
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY32131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: