Provider Demographics
NPI:1366067977
Name:SANCHEZ, DENNA MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:DENNA
Middle Name:MARIE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 W OWEN CT
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-3835
Mailing Address - Country:US
Mailing Address - Phone:626-826-7114
Mailing Address - Fax:
Practice Address - Street 1:722 W OWEN CT
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-3835
Practice Address - Country:US
Practice Address - Phone:626-826-7114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18973103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist