Provider Demographics
NPI:1629381801
Name:TERPENING, ROXANA D
Entity Type:Individual
Prefix:MRS
First Name:ROXANA
Middle Name:D
Last Name:TERPENING
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 1:1661 N RAYMOND AVE
Mailing Address - Street 2:200
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1120
Mailing Address - Country:US
Mailing Address - Phone:714-474-1405
Mailing Address - Fax:714-434-0549
Practice Address - Street 1:1661 N RAYMOND AVE
Practice Address - Street 2:200
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1120
Practice Address - Country:US
Practice Address - Phone:714-474-1405
Practice Address - Fax:714-434-0549
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor