Healthcare Provider Details

I. General information

NPI: 1225619893
Provider Name (Legal Business Name): REBECCA P LAPID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5080 N FRUIT AVE STE 102
FRESNO CA
93711-3062
US

IV. Provider business mailing address

1384 ROYALTY WAY
CLOVIS CA
93619-8494
US

V. Phone/Fax

Practice location:
  • Phone: 559-493-5609
  • Fax:
Mailing address:
  • Phone: 619-850-9466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: