Provider Demographics
NPI:1467577791
Name:ANAYA, ADRIANA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:ANAYA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13033 PENN ST STE 800
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1603
Mailing Address - Country:US
Mailing Address - Phone:562-204-6441
Mailing Address - Fax:562-691-2521
Practice Address - Street 1:13033 PENN ST STE 800
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1603
Practice Address - Country:US
Practice Address - Phone:562-204-6441
Practice Address - Fax:562-691-2521
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22001103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical