Healthcare Provider Details

I. General information

NPI: 1942139290
Provider Name (Legal Business Name): GENI PERRYMENT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2491 ALLUVIAL AVE STE 626
CLOVIS CA
93611-9587
US

IV. Provider business mailing address

2491 ALLUVIAL AVE STE 626
CLOVIS CA
93611-9587
US

V. Phone/Fax

Practice location:
  • Phone: 559-519-4364
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number33808
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: