Healthcare Provider Details

I. General information

NPI: 1548189913
Provider Name (Legal Business Name): KENYA HAIDE TORRES-AGUIRRE ED.S., NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KENYA HAIDE BERNAL AGUIRRE

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 S RURAL RD
TEMPE AZ
85282-3853
US

IV. Provider business mailing address

423 W PELICAN DR
CHANDLER AZ
85286-7796
US

V. Phone/Fax

Practice location:
  • Phone: 480-730-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number6814007
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: