Healthcare Provider Details

I. General information

NPI: 1114368891
Provider Name (Legal Business Name): JANET SAENZ TORIBIO PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3097 WILLOW AVE STE 14
CLOVIS CA
93612-4715
US

IV. Provider business mailing address

3097 WILLOW AVE STE 14
CLOVIS CA
93612-4715
US

V. Phone/Fax

Practice location:
  • Phone: 559-586-6778
  • Fax: 559-234-4523
Mailing address:
  • Phone: 559-586-6778
  • Fax: 559-234-4523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY27777
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: