Provider Demographics
NPI:1245333541
Name:MENDEZ, TRISHA ANN (MA)
Entity type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:ANN
Last Name:MENDEZ
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 1:2129 HACIENDA WAY STE E
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-0362
Mailing Address - Country:US
Mailing Address - Phone:916-769-9266
Mailing Address - Fax:877-667-3518
Practice Address - Street 1:2129 HACIENDA WAY STE E
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-0362
Practice Address - Country:US
Practice Address - Phone:916-769-9266
Practice Address - Fax:877-667-3518
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43520106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist