Provider Demographics
NPI:1760804918
Name:FRENCH, TANISHA LORRAINE (BSW)
Entity Type:Individual
Prefix:MRS
First Name:TANISHA
Middle Name:LORRAINE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:TANISHA
Other - Middle Name:LORRAINE
Other - Last Name:DUNLAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:3125 MYERS ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-5527
Mailing Address - Country:US
Mailing Address - Phone:951-358-4850
Mailing Address - Fax:951-358-4852
Practice Address - Street 1:3125 MYERS ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-5527
Practice Address - Country:US
Practice Address - Phone:951-358-4850
Practice Address - Fax:951-358-4852
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator