Healthcare Provider Details

I. General information

NPI: 1912812629
Provider Name (Legal Business Name): JANAYE ALDRIDGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11408 ORR AND DAY RD
NORWALK CA
90650-7913
US

IV. Provider business mailing address

11408 ORR AND DAY RD
NORWALK CA
90650-7913
US

V. Phone/Fax

Practice location:
  • Phone: 562-323-2241
  • Fax:
Mailing address:
  • Phone: 562-323-2241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4707
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: