Healthcare Provider Details

I. General information

NPI: 1831653245
Provider Name (Legal Business Name): MRS. QUINN HOUCHIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: QUINN HOUCHIN FIFE

II. Dates (important events)

Enumeration Date: 01/30/2019
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 PACIFIC ST
MONTEREY CA
93940-2864
US

IV. Provider business mailing address

19 GROVE ST
SALINAS CA
93901-4124
US

V. Phone/Fax

Practice location:
  • Phone: 831-645-1261
  • Fax:
Mailing address:
  • Phone: 831-261-4238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number220154121
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: