Healthcare Provider Details

I. General information

NPI: 1275141681
Provider Name (Legal Business Name): TORIBIO PSYCHOLOGICAL SERVICES, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2020
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 W SHAW AVE STE 101
FRESNO CA
93711-3200
US

IV. Provider business mailing address

3475 W SHAW AVE STE 101
FRESNO CA
93711-3200
US

V. Phone/Fax

Practice location:
  • Phone: 559-271-1186
  • Fax: 559-234-4523
Mailing address:
  • Phone: 559-586-6778
  • Fax: 559-234-4523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JANET SAENZ TORIBIO
Title or Position: CLINICAL DIRECTOR
Credential: PHD
Phone: 559-271-1186