Provider Demographics
NPI:1285764266
Name:HERD, VALORIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:VALORIE
Middle Name:
Last Name:HERD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:VALORIE
Other - Middle Name:DENISE
Other - Last Name:SPIVEY HERD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:2940 SUMMIT ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3416
Mailing Address - Country:US
Mailing Address - Phone:510-995-6075
Mailing Address - Fax:510-893-2027
Practice Address - Street 1:2940 SUMMIT ST STE 2A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3416
Practice Address - Country:US
Practice Address - Phone:510-995-6075
Practice Address - Fax:510-893-2027
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28427103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist