Healthcare Provider Details

I. General information

NPI: 1932747151
Provider Name (Legal Business Name): SALINA DENISE ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2019
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 TULARE ST
FRESNO CA
93721-2287
US

IV. Provider business mailing address

9912 N WOODROW AVE
FRESNO CA
93720-4666
US

V. Phone/Fax

Practice location:
  • Phone: 559-724-7150
  • Fax:
Mailing address:
  • Phone: 559-724-7150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: