Provider Demographics
NPI:1437643939
Name:ARMENDAREZ, JOSEPH JERRY (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JERRY
Last Name:ARMENDAREZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 HARBOR BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-3828
Mailing Address - Country:US
Mailing Address - Phone:530-302-5791
Mailing Address - Fax:
Practice Address - Street 1:1550 HARBOR BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-3828
Practice Address - Country:US
Practice Address - Phone:530-302-5791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33718103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical