Individual
MONIQUE PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
M.A., ED.S., PPS
Contact information
Practice address
3201 SYLVAN AVE, MODESTO, CA 95355-7893
(209) 574-1719
Mailing address
3201 SYLVAN AVE, MODESTO, CA 95355-7893
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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