| Organization Name: | DEL VALLE CLINIC, INC |
| NPI Number: | 1023028248 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY OEHRLY (OWNER) |
| Mailing Address: | 1797 4th St Livermore |
| State: | CA US |
| Postal Code: | 945504347 |
| Phone Number: | 9254432500 |
| Fax Number: | 9254430771 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 09/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |