Provider Demographics
NPI:1487946638
Name:TORRES YANEZ, ENNY VERENICE (PSYD)
Entity type:Individual
Prefix:
First Name:ENNY
Middle Name:VERENICE
Last Name:TORRES YANEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 W HICKORY ST STE 304
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4151
Mailing Address - Country:US
Mailing Address - Phone:972-560-4091
Mailing Address - Fax:
Practice Address - Street 1:207 W HICKORY ST STE 304
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4151
Practice Address - Country:US
Practice Address - Phone:972-560-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-06
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38035103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical