Healthcare Provider Details

I. General information

NPI: 1386998094
Provider Name (Legal Business Name): JANNAE MARIE NAVARRO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2012
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3569 LEXINGTON AVE
EL MONTE CA
91731-2607
US

IV. Provider business mailing address

3569 LEXINGTON AVE
EL MONTE CA
91731-2607
US

V. Phone/Fax

Practice location:
  • Phone: 626-453-3399
  • Fax: 626-453-3398
Mailing address:
  • Phone: 626-453-3399
  • Fax: 626-453-3398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 28969
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: