Provider Demographics
NPI:1740042373
Name:NARVAEZ, RAYNA C (PHD)
Entity type:Individual
Prefix:DR
First Name:RAYNA
Middle Name:C
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2560 24TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-5389
Mailing Address - Country:US
Mailing Address - Phone:309-779-3970
Mailing Address - Fax:
Practice Address - Street 1:2560 24TH ST STE 101
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-5389
Practice Address - Country:US
Practice Address - Phone:309-779-3970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling