Provider Demographics
NPI:1023038312
Name:QUINTO, RENEE S (PHD)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:S
Last Name:QUINTO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:A
Other - Last Name:SIEMSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 1687
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-7687
Mailing Address - Country:US
Mailing Address - Phone:916-212-8470
Mailing Address - Fax:916-625-0357
Practice Address - Street 1:1329 HOWE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3363
Practice Address - Country:US
Practice Address - Phone:916-212-8470
Practice Address - Fax:916-625-0357
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16926103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPL169260OtherBLUE SHIELD PROVIDER NUMB
CA358830Medicare UPIN
CAOPL169260OtherBLUE SHIELD PROVIDER NUMB