MEDICARE: MS. JANNAE MARIE NAVARRO PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY 28969	CA

General Provider Information

NPI Number	:	1386998094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANNAE MARIE NAVARRO PSY.D.

Provider Business Mailing Address
First Line	:	3569 LEXINGTON AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2607
Country	:	US
Telephone Number	:	626-453-3399
Fax Number	:	626-453-3398

Provider Business Practice Location Address
First Line	:	3569 LEXINGTON AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2607
Country	:	US
Telephone Number	:	626-453-3399
Fax Number	:	626-453-3398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2012
Last Update Date	:	07/15/2024

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