Provider Demographics
NPI:1316539216
Name:GARIBAY, DENISE
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:GARIBAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27605 GRAYSTONE LN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-7006
Mailing Address - Country:US
Mailing Address - Phone:619-961-8921
Mailing Address - Fax:
Practice Address - Street 1:27605 GRAYSTONE LN
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-7006
Practice Address - Country:US
Practice Address - Phone:619-961-8921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool