Healthcare Provider Details

I. General information

NPI: 1992316400
Provider Name (Legal Business Name): EMILEE CARMEN VALLER GORFIEN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILEE CARMEN VALLER PHD

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PINE WEST PLZ STE 501
ALBANY NY
12205-5587
US

IV. Provider business mailing address

PO BOX 144
SLINGERLANDS NY
12159-0144
US

V. Phone/Fax

Practice location:
  • Phone: 518-722-2637
  • Fax: 518-240-4643
Mailing address:
  • Phone: 518-722-2637
  • Fax: 518-240-4643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number024833
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: