Provider Demographics
NPI:1659412351
Name:SAINZ, GENOVEVA S (MA)
Entity Type:Individual
Prefix:MISS
First Name:GENOVEVA
Middle Name:S
Last Name:SAINZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:GENEVIEVE
Other - Middle Name:S
Other - Last Name:SAINZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:620 EAST 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-0620
Mailing Address - Country:US
Mailing Address - Phone:760-505-8777
Mailing Address - Fax:760-741-2325
Practice Address - Street 1:620 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4413
Practice Address - Country:US
Practice Address - Phone:760-505-8777
Practice Address - Fax:760-741-2325
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46417106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA$$$$$$$$$OtherMEDICAL PENDING