Provider Demographics
NPI:1215107545
Name:ORRELL-VALENTE, JOAN KAMINI (PHD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:KAMINI
Last Name:ORRELL-VALENTE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 CALIFORNIA ST,
Mailing Address - Street 2:LH 245, BOX 0503
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0503
Mailing Address - Country:US
Mailing Address - Phone:415-514-9218
Mailing Address - Fax:415-476-6106
Practice Address - Street 1:401 PARNASSUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2211
Practice Address - Country:US
Practice Address - Phone:415-514-9218
Practice Address - Fax:415-476-6106
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21768103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical