Provider Demographics
NPI:1144089996
Name:VALOR PSYCHOLOGY FOR VETERANS
Entity type:Organization
Organization Name:VALOR PSYCHOLOGY FOR VETERANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:VENDA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:619-576-4020
Mailing Address - Street 1:7533 S CENTER VIEW CT STE N
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84084-5526
Mailing Address - Country:US
Mailing Address - Phone:619-576-4020
Mailing Address - Fax:
Practice Address - Street 1:7533 S CENTER VIEW CT STE N
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84084-5526
Practice Address - Country:US
Practice Address - Phone:619-576-4020
Practice Address - Fax:888-267-8549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health