Provider Demographics
NPI:1528116290
Name:DOWLA, VALERIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:DOWLA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5315 CRESTFIELD CT
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-5538
Mailing Address - Country:US
Mailing Address - Phone:510-999-0385
Mailing Address - Fax:510-727-0373
Practice Address - Street 1:22320 FOOTHILL BLVD
Practice Address - Street 2:STE 428
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2885
Practice Address - Country:US
Practice Address - Phone:510-999-0385
Practice Address - Fax:510-274-5083
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16320103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA87-0755949OtherEIN
CAOPL163200Medicare ID - Type Unspecified
CA87-0755949OtherEIN