Provider Demographics
NPI:1942723861
Name:HERRERA, GUADALUPE (PSY D)
Entity type:Individual
Prefix:DR
First Name:GUADALUPE
Middle Name:
Last Name:HERRERA
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 ESPERANZA AVE APT 112
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-5776
Mailing Address - Country:US
Mailing Address - Phone:619-844-1684
Mailing Address - Fax:
Practice Address - Street 1:32 ESPERANZA AVE APT 112
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5776
Practice Address - Country:US
Practice Address - Phone:619-844-1684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-23
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY35619103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical