Provider Demographics
NPI:1942341920
Name:TERRAZANO, MAUREEN CATHY (MD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:CATHY
Last Name:TERRAZANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 E SAN JACINTO AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-2833
Mailing Address - Country:US
Mailing Address - Phone:951-443-2200
Mailing Address - Fax:951-443-2200
Practice Address - Street 1:450 E SAN JACINTO AVE STE 100
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-2833
Practice Address - Country:US
Practice Address - Phone:951-443-2200
Practice Address - Fax:951-443-2200
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG731132084P0800X
CAG 731132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry