Healthcare Provider Details

I. General information

NPI: 1508774241
Provider Name (Legal Business Name): IRENE SIGALA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1574 E CANAL DR
TURLOCK CA
95380-4161
US

IV. Provider business mailing address

PO BOX 755
HUGHSON CA
95326-0755
US

V. Phone/Fax

Practice location:
  • Phone: 209-667-0632
  • Fax:
Mailing address:
  • Phone: 209-202-4044
  • 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: