Healthcare Provider Details

I. General information

NPI: 1740996099
Provider Name (Legal Business Name): FRANCES A TERRAZAS EDUCATION SPECIALIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023
Certification Date: 01/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1744 DESERT GARDENS DR
EL CENTRO CA
92243-4114
US

IV. Provider business mailing address

1744 DESERT GARDENS DR
EL CENTRO CA
92243-4114
US

V. Phone/Fax

Practice location:
  • Phone: 760-996-7706
  • Fax:
Mailing address:
  • Phone: 760-996-7706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number180278238
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: