Provider Demographics
NPI:1689729154
Name:SANCHEZ, DEVONDERIA (MA)
Entity Type:Individual
Prefix:
First Name:DEVONDERIA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2947 BANSHEE CT
Mailing Address - Street 2:B
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-3181
Mailing Address - Country:US
Mailing Address - Phone:559-817-9242
Mailing Address - Fax:
Practice Address - Street 1:619 N IRWIN ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-3825
Practice Address - Country:US
Practice Address - Phone:559-530-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83796106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist