IndividualActive
Gustavo Valencia
NPI 1891417374 · Clinical Child & Adolescent Psychologist · Hollywood, FL
Provider details
- NPI number
- 1891417374
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1116 N 61st Ave
Hollywood, FL 33024-6059
Phone: (954) 397-1124
Approximate (ZIP-level) locationGet directions
Mailing address
1116 N 61st Ave
Hollywood, FL 33024-6059
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.