Individual
JANICE LYANNE ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2825 50TH ST, SACRAMENTO, CA 95817-2308
(916) 703-0235
(916) 703-0243
Mailing address
2825 50TH ST, SACRAMENTO, CA 95817-2308
(916) 703-0235
(916) 703-0243
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PSY21926
CA
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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