MEDICARE: DR. RAYNA C NARVAEZ PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1740042373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYNA C NARVAEZ PHD

Provider Business Mailing Address
First Line	:	2560 24TH ST STE 101
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-5389
Country	:	US
Telephone Number	:	309-779-3970
Fax Number	:

Provider Business Practice Location Address
First Line	:	2560 24TH ST STE 101
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-5389
Country	:	US
Telephone Number	:	309-779-3970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/29/2024

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