Fanzo, Jennifer L

Fanzo, Jennifer L is an individual health care provider with primary practice located at 23370 Road 22 , Chowchilla CA 93610-8504. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Fanzo, Jennifer L can be contacted via phone (559) 665-5531.

Contact Information

Primary practice address
23370 Road 22 Chowchilla CA 93610-8504
Phone: (559) 665-5531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY31569 California

Profile Details

NPI number 1821229253
LBN Legal business name Fanzo, Jennifer L
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2009
Last updated Oct 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers