Provider Demographics
NPI:1235288796
Name:NAVARRO, DENIS JAMES (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:DENIS
Middle Name:JAMES
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 DIXIE LN
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-7616
Mailing Address - Country:US
Mailing Address - Phone:814-889-2078
Mailing Address - Fax:814-889-7999
Practice Address - Street 1:1868 DIXIE LN
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-7616
Practice Address - Country:US
Practice Address - Phone:814-889-2078
Practice Address - Fax:814-889-7999
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-003164-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical